How much rates vary
Facilitymedian $1,862 · 10th to 90th $468 to $3,388Professionalmedian $355 · 10th to 90th $72 to $741
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 $257.04 Median $457.09 Typical High $1,548.82 | Facility | None | $257.04 | $457.09 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $660.69 Typical High $851.14 | Professional | None (both parts) | $257.04 | $660.69 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $144.54 Typical High $186.21 | Professional | 26 · Professional part | $72.44 | $144.54 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $416.87 Typical High $645.65 | Professional | TC · Technical part | $186.21 | $416.87 | $645.65 |
BCBS New Mexico Setting Facility Modifier None Typical Low $630.96 Median $2,290.87 Typical High $3,467.37 | Facility | None | $630.96 | $2,290.87 | $3,467.37 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $54.95 Median $186.21 Typical High $354.81 | Professional | None (both parts) | $54.95 | $186.21 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $616.60 Typical High $831.76 | Professional | None (both parts) | $257.04 | $616.60 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $66.07 | $91.20 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $524.81 Typical High $707.95 | Professional | TC · Technical part | $186.21 | $524.81 | $707.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $33.11 | $281.84 | $371.54 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $776.25 Typical High $831.76 | Facility | None | $245.47 | $776.25 | $831.76 |
Providence Setting Professional Modifier None (both parts) Typical Low $288.40 Median $616.60 Typical High $831.76 | Professional | None (both parts) | $288.40 | $616.60 | $831.76 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $134.90 | Professional | 26 · Professional part | $70.79 | $95.50 | $134.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $524.81 Typical High $707.95 | Professional | TC · Technical part | $204.17 | $524.81 | $707.95 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $1,513.56 | Facility | None | $691.83 | $691.83 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $489.78 Typical High $741.31 | Professional | None (both parts) | $263.03 | $489.78 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $70.79 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $398.11 Typical High $660.69 | Professional | TC · Technical part | $190.55 | $398.11 | $660.69 |
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 $128.82 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $128.82 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $51.29 | $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· 42nd of 51
$372
WY $1,047UT $191
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.