How much rates vary
Facilitymedian $1,479 · 10th to 90th $490 to $2,754Professionalmedian $309 · 10th to 90th $83 to $661
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 $229.09 Median $416.87 Typical High $1,023.29 | Facility | None | $229.09 | $416.87 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $416.87 Typical High $758.58 | Professional | None (both parts) | $229.09 | $416.87 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $138.04 Typical High $173.78 | Professional | 26 · Professional part | $77.62 | $138.04 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $269.15 Typical High $537.03 | Professional | TC · Technical part | $151.36 | $269.15 | $537.03 |
BCBS New Mexico Setting Facility Modifier None Typical Low $512.86 Median $1,819.70 Typical High $2,818.38 | Facility | None | $512.86 | $1,819.70 | $2,818.38 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $63.10 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $63.10 | $229.09 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $524.81 Typical High $707.95 | Professional | None (both parts) | $316.23 | $524.81 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $107.15 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $416.87 Typical High $562.34 | Professional | TC · Technical part | $229.09 | $416.87 | $562.34 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $33.11 | $229.09 | $380.19 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $660.69 Typical High $707.95 | Facility | None | $251.19 | $660.69 | $707.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $346.74 Median $524.81 Typical High $794.33 | Professional | None (both parts) | $346.74 | $524.81 | $794.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $151.36 | Professional | 26 · Professional part | $83.18 | $112.20 | $151.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $416.87 Typical High $562.34 | Professional | TC · Technical part | $257.04 | $416.87 | $562.34 |
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 $309.03 Median $446.68 Typical High $776.25 | Professional | None (both parts) | $309.03 | $446.68 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $83.18 Typical High $190.55 | Professional | 26 · Professional part | $77.62 | $83.18 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $363.08 Typical High $588.84 | Professional | TC · Technical part | $223.87 | $363.08 | $588.84 |
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 $114.82 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $114.82 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $46.77 | $83.18 | $83.18 |
Where New Mexico sits
The same service costs 6.2 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· 44th of 51
$331
AK $1,047UT $170
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.