How much rates vary
Facilitymedian $1,349 · 10th to 90th $398 to $2,692Professionalmedian $245 · 10th to 90th $60 to $708
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 $218.78 Median $707.95 Typical High $1,548.82 | Facility | None | $218.78 | $707.95 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $707.95 Typical High $776.25 | Professional | None (both parts) | $218.78 | $707.95 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $144.54 Typical High $181.97 | Professional | 26 · Professional part | $58.88 | $144.54 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $562.34 Typical High $575.44 | Professional | TC · Technical part | $158.49 | $562.34 | $575.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
BCBS New Mexico Setting Facility Modifier None Typical Low $524.81 Median $1,862.09 Typical High $2,884.03 | Facility | None | $524.81 | $1,862.09 | $2,884.03 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $45.71 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $45.71 | $158.49 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $562.34 Typical High $758.58 | Professional | None (both parts) | $218.78 | $562.34 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $75.86 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $478.63 Typical High $645.65 | Professional | TC · Technical part | $158.49 | $478.63 | $645.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $245.47 Typical High $316.23 | Professional | None (both parts) | $33.11 | $245.47 | $316.23 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $660.69 Typical High $724.44 | Facility | None | $208.93 | $660.69 | $724.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $239.88 Median $562.34 Typical High $758.58 | Professional | None (both parts) | $239.88 | $562.34 | $758.58 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $79.43 | $112.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $478.63 Typical High $645.65 | Professional | TC · Technical part | $173.78 | $478.63 | $645.65 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,047.13 | Facility | None | $467.74 | $467.74 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $436.52 Typical High $645.65 | Professional | None (both parts) | $223.87 | $436.52 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $134.90 | Professional | 26 · Professional part | $54.95 | $58.88 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $346.74 Typical High $588.84 | Professional | TC · Technical part | $162.18 | $346.74 | $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 $109.65 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $109.65 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $43.65 | $141.25 | $141.25 |
Where New Mexico sits
The same service costs 5.5 times more in Wyoming 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
$275
WY $891UT $162
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.