How much rates vary
Facilitymedian $1,862 · 10th to 90th $617 to $3,388Professionalmedian $380 · 10th to 90th $76 to $832
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 $295.12 Median $295.12 Typical High $1,548.82 | Facility | None | $295.12 | $295.12 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $602.56 Typical High $831.76 | Professional | None (both parts) | $295.12 | $602.56 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $144.54 Typical High $181.97 | Professional | 26 · Professional part | $75.86 | $144.54 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $436.52 Typical High $707.95 | Professional | TC · Technical part | $218.78 | $436.52 | $707.95 |
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 $58.88 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $58.88 | $213.80 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $691.83 Typical High $933.25 | Professional | None (both parts) | $295.12 | $691.83 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $97.72 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $588.84 Typical High $794.33 | Professional | TC · Technical part | $218.78 | $588.84 | $794.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $316.23 Typical High $416.87 | Professional | None (both parts) | $33.11 | $316.23 | $416.87 |
Providence Setting Facility Modifier None Typical Low $281.84 Median $794.33 Typical High $891.25 | Facility | None | $281.84 | $794.33 | $891.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $331.13 Median $691.83 Typical High $933.25 | Professional | None (both parts) | $331.13 | $691.83 | $933.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $144.54 | Professional | 26 · Professional part | $75.86 | $102.33 | $144.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $588.84 Typical High $794.33 | Professional | TC · Technical part | $239.88 | $588.84 | $794.33 |
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 $302.00 Median $549.54 Typical High $851.14 | Professional | None (both parts) | $302.00 | $549.54 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $75.86 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $457.09 Typical High $707.95 | Professional | TC · Technical part | $229.09 | $457.09 | $707.95 |
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 $147.91 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $147.91 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $58.88 | $141.25 | $141.25 |
Where New Mexico sits
The same service costs 5.6 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
$398
WY $1,230UT $219
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.