How much rates vary
Facilitymedian $1,862 · 10th to 90th $589 to $3,388Professionalmedian $331 · 10th to 90th $72 to $724
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $309.03 Median $549.54 Typical High $1,548.82 | Facility | None | $309.03 | $549.54 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $588.84 Typical High $1,023.29 | Professional | None (both parts) | $309.03 | $588.84 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $144.54 Typical High $245.47 | Professional | 26 · Professional part | $72.44 | $144.54 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $426.58 Typical High $812.83 | Professional | TC · Technical part | $234.42 | $426.58 | $812.83 |
BCBS New Mexico Setting Facility Modifier None Typical Low $630.96 Median $2,290.87 Typical High $3,467.37 | Facility | None | $630.96 | $2,290.87 | $3,467.37 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $54.95 Median $218.78 Typical High $354.81 | Professional | None (both parts) | $54.95 | $218.78 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $588.84 Typical High $794.33 | Professional | None (both parts) | $302.00 | $588.84 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $91.20 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $489.78 Typical High $660.69 | Professional | TC · Technical part | $234.42 | $489.78 | $660.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $257.04 Typical High $371.54 | Professional | None (both parts) | $33.11 | $257.04 | $371.54 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $758.58 Typical High $794.33 | Facility | None | $295.12 | $758.58 | $794.33 |
Providence Setting Professional Modifier None (both parts) Typical Low $338.84 Median $588.84 Typical High $870.96 | Professional | None (both parts) | $338.84 | $588.84 | $870.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $134.90 | Professional | 26 · Professional part | $72.44 | $95.50 | $134.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $489.78 Typical High $660.69 | Professional | TC · Technical part | $257.04 | $489.78 | $660.69 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $3,388.44 | Facility | None | $1,548.82 | $1,548.82 | $3,388.44 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $501.19 Typical High $831.76 | Professional | None (both parts) | $316.23 | $501.19 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $70.79 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $426.58 Typical High $645.65 | Professional | TC · Technical part | $245.47 | $426.58 | $645.65 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $154.88 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $61.66 | $141.25 | $141.25 |
Where New Mexico sits
The same service costs 5.4 times more in Wyoming than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New Mexico· 46th of 51
$355
WY $1,259TX $234
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.