How much rates vary
Facilitymedian $1,380 · 10th to 90th $158 to $2,138Professionalmedian $110 · 10th to 90th $29 to $204
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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $109.65 | $147.91 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $31.62 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $31.62 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $117.49 Typical High $165.96 | Professional | TC · Technical part | $79.43 | $117.49 | $165.96 |
BCBS New Mexico Setting Facility Modifier None Typical Low $398.11 Median $1,412.54 Typical High $2,187.76 | Facility | None | $398.11 | $1,412.54 | $2,187.76 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $21.88 Median $75.86 Typical High $128.82 | Professional | None (both parts) | $21.88 | $75.86 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $97.72 | $151.36 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $34.67 Typical High $47.86 | Professional | 26 · Professional part | $25.70 | $34.67 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $70.79 | $112.20 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $30.20 | $89.13 | $144.54 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $165.96 | Facility | None | $112.20 | $158.49 | $165.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $97.72 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $97.72 | $154.88 | $245.47 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $47.86 | Professional | 26 · Professional part | $26.30 | $34.67 | $47.86 |
Providence Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $70.79 | $112.20 | $165.96 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $1,513.56 | Facility | None | $691.83 | $691.83 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $275.42 | Professional | None (both parts) | $114.82 | $138.04 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $29.51 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $213.80 | Professional | TC · Technical part | $89.13 | $109.65 | $213.80 |
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 $54.95 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $54.95 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $21.88 | $35.48 | $35.48 |
Where New Mexico sits
The same service costs 3.5 times more in Alaska 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
$115
AK $355TX $100
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.