How much rates vary
Facilitymedian $240 · 10th to 90th $38 to $479Professionalmedian $30 · 10th to 90th $8 to $51
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 $25.70 Median $44.67 Typical High $194.98 | Facility | None | $25.70 | $44.67 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $41.69 Typical High $70.79 | Professional | None (both parts) | $25.70 | $41.69 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $10.23 Typical High $15.49 | Professional | 26 · Professional part | $6.03 | $10.23 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $30.90 Typical High $52.48 | Professional | TC · Technical part | $19.50 | $30.90 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $22.91 Typical High $33.88 | Professional | None (both parts) | $19.50 | $22.91 | $33.88 |
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 $5.75 Median $23.44 Typical High $35.48 | Professional | None (both parts) | $5.75 | $23.44 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $37.15 Typical High $51.29 | Professional | None (both parts) | $28.18 | $37.15 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $6.92 | $10.00 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $39.81 | Professional | TC · Technical part | $20.89 | $26.92 | $39.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.55 Median $28.84 Typical High $38.90 | Professional | None (both parts) | $9.55 | $28.84 | $38.90 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $38.02 Typical High $40.74 | Facility | None | $24.55 | $38.02 | $40.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $29.51 Median $42.66 Typical High $66.07 | Professional | None (both parts) | $29.51 | $42.66 | $66.07 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $6.92 | $10.00 | $13.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $38.02 | Professional | TC · Technical part | $22.91 | $27.54 | $38.02 |
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 $28.84 Median $33.11 Typical High $64.57 | Professional | None (both parts) | $28.84 | $33.11 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.71 Typical High $16.98 | Professional | 26 · Professional part | $8.13 | $8.71 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $47.86 | Professional | TC · Technical part | $20.42 | $24.55 | $47.86 |
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 $12.88 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $12.88 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $5.13 | $8.32 | $8.32 |
Where New Mexico sits
The same service costs 15.1 times more in Vermont 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· 47th of 51
$30.90
VT $407FL $26.92
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.