How much rates vary
Facilitymedian $1,148 · 10th to 90th $275 to $2,399Professionalmedian $182 · 10th to 90th $51 to $407
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 $151.36 Median $288.40 Typical High $1,023.29 | Facility | None | $151.36 | $288.40 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $269.15 Typical High $549.54 | Professional | None (both parts) | $151.36 | $269.15 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $48.98 | $85.11 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $181.97 Typical High $354.81 | Professional | TC · Technical part | $102.33 | $181.97 | $354.81 |
BCBS New Mexico Setting Facility Modifier None Typical Low $446.68 Median $1,584.89 Typical High $2,454.71 | Facility | None | $446.68 | $1,584.89 | $2,454.71 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $38.90 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $38.90 | $117.49 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $331.13 Typical High $446.68 | Professional | None (both parts) | $162.18 | $331.13 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $93.33 | Professional | 26 · Professional part | $47.86 | $66.07 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $269.15 Typical High $363.08 | Professional | TC · Technical part | $109.65 | $269.15 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $33.11 | $144.54 | $208.93 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $380.19 Typical High $426.58 | Facility | None | $154.88 | $380.19 | $426.58 |
Providence Setting Professional Modifier None (both parts) Typical Low $181.97 Median $331.13 Typical High $467.74 | Professional | None (both parts) | $181.97 | $331.13 | $467.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $51.29 | $69.18 | $93.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $269.15 Typical High $363.08 | Professional | TC · Technical part | $123.03 | $269.15 | $363.08 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $758.58 | Facility | None | $346.74 | $346.74 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $165.96 | $275.42 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $50.12 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $218.78 Typical High $331.13 | Professional | TC · Technical part | $117.49 | $218.78 | $331.13 |
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 $75.86 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $75.86 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $30.20 | $53.70 | $53.70 |
Where New Mexico sits
The same service costs 5.4 times more in Alaska 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· 46th of 51
$200
AK $676UT $126
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.