How much rates vary
Facilitymedian $257 · 10th to 90th $34 to $479Professionalmedian $26 · 10th to 90th $7 to $45
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 $20.89 Median $33.88 Typical High $50.12 | Facility | None | $20.89 | $33.88 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $33.88 Typical High $53.70 | Professional | None (both parts) | $20.89 | $33.88 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $9.33 Typical High $14.13 | Professional | 26 · Professional part | $5.50 | $9.33 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $15.14 | $24.55 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $19.95 | Professional | None (both parts) | $16.22 | $16.22 | $19.95 |
BCBS New Mexico Setting Facility Modifier None Typical Low $89.13 Median $309.03 Typical High $489.78 | Facility | None | $89.13 | $309.03 | $489.78 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $5.37 Median $19.50 Typical High $31.62 | Professional | None (both parts) | $5.37 | $19.50 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $31.62 Typical High $43.65 | Professional | None (both parts) | $24.55 | $31.62 | $43.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.33 Typical High $12.30 | Professional | 26 · Professional part | $6.31 | $9.33 | $12.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $31.62 | Professional | TC · Technical part | $17.38 | $22.39 | $31.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.91 Median $23.44 Typical High $33.11 | Professional | None (both parts) | $8.91 | $23.44 | $33.11 |
Providence Setting Facility Modifier None Typical Low $19.50 Median $33.88 Typical High $35.48 | Facility | None | $19.50 | $33.88 | $35.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $24.55 Median $37.15 Typical High $53.70 | Professional | None (both parts) | $24.55 | $37.15 | $53.70 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.33 Typical High $12.30 | Professional | 26 · Professional part | $6.31 | $9.33 | $12.30 |
Providence Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $31.62 | Professional | TC · Technical part | $18.62 | $22.39 | $31.62 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $380.19 | Facility | None | $169.82 | $169.82 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.18 Typical High $54.95 | Professional | None (both parts) | $25.12 | $28.18 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.94 Typical High $15.49 | Professional | 26 · Professional part | $7.41 | $7.94 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.42 Typical High $39.81 | Professional | TC · Technical part | $17.38 | $20.42 | $39.81 |
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 $10.47 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $10.47 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $4.17 | $6.76 | $6.76 |
Where New Mexico sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 49th of 51
$25.70
AK $83.18FL $22.39
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.