How much rates vary
Facilitymedian $1,122 · 10th to 90th $339 to $2,692Professionalmedian $209 · 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 $263.03 Median $562.34 Typical High $758.58 | Facility | None | $263.03 | $562.34 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $707.95 Typical High $741.31 | Professional | None (both parts) | $194.98 | $707.95 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $144.54 Typical High $213.80 | Professional | 26 · Professional part | $60.26 | $144.54 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $134.90 | $562.34 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
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 $144.54 Typical High $234.42 | Professional | None (both parts) | $45.71 | $144.54 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $549.54 Typical High $724.44 | Professional | None (both parts) | $194.98 | $549.54 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $77.62 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $467.74 Typical High $616.60 | Professional | TC · Technical part | $138.04 | $467.74 | $616.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $33.11 | $162.18 | $239.88 |
Providence Setting Facility Modifier None Typical Low $190.55 Median $645.65 Typical High $707.95 | Facility | None | $190.55 | $645.65 | $707.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $218.78 Median $549.54 Typical High $724.44 | Professional | None (both parts) | $218.78 | $549.54 | $724.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $81.28 Typical High $114.82 | Professional | 26 · Professional part | $60.26 | $81.28 | $114.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $467.74 Typical High $616.60 | Professional | TC · Technical part | $151.36 | $467.74 | $616.60 |
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 $199.53 Median $398.11 Typical High $645.65 | Professional | None (both parts) | $199.53 | $398.11 | $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 $138.04 Median $316.23 Typical High $501.19 | Professional | TC · Technical part | $138.04 | $316.23 | $501.19 |
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 $97.72 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $97.72 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $38.90 | $141.25 | $141.25 |
Where New Mexico sits
The same service costs 13.5 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
$209
VT $2,089UT $155
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.