How much rates vary
Facilitymedian $759 · 10th to 90th $200 to $1,514Professionalmedian $135 · 10th to 90th $45 to $316
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 $21.38 Median $229.09 Typical High $1,023.29 | Facility | None | $21.38 | $229.09 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $117.49 | $208.93 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $41.69 | $77.62 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $131.83 Typical High $257.04 | Professional | TC · Technical part | $75.86 | $131.83 | $257.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
BCBS New Mexico Setting Facility Modifier None Typical Low $295.12 Median $1,047.13 Typical High $1,621.81 | Facility | None | $295.12 | $1,047.13 | $1,621.81 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $33.88 Median $91.20 Typical High $147.91 | Professional | None (both parts) | $33.88 | $91.20 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $125.89 | $269.15 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $81.28 | Professional | 26 · Professional part | $40.74 | $57.54 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $81.28 | $213.80 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $33.11 | $102.33 | $151.36 |
Providence Setting Facility Modifier None Typical Low $123.03 Median $323.59 Typical High $354.81 | Facility | None | $123.03 | $323.59 | $354.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $141.25 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $141.25 | $269.15 | $363.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $60.26 | $81.28 |
Providence Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $91.20 | $213.80 | $288.40 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $457.09 | Facility | None | $204.17 | $204.17 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $229.09 Typical High $354.81 | Professional | None (both parts) | $134.90 | $229.09 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $100.00 | Professional | 26 · Professional part | $41.69 | $46.77 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $169.82 Typical High $263.03 | Professional | TC · Technical part | $91.20 | $169.82 | $263.03 |
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 $58.88 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $58.88 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $23.44 | $41.69 | $41.69 |
Where New Mexico sits
The same service costs 5.8 times more in Vermont than in Utah. 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
$145
VT $603UT $105
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.