How much rates vary
Facilitymedian $2,042 · 10th to 90th $589 to $4,266Professionalmedian $389 · 10th to 90th $98 to $955
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 $331.13 Median $707.95 Typical High $1,548.82 | Facility | None | $331.13 | $707.95 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $616.60 Typical High $1,096.48 | Professional | None (both parts) | $331.13 | $616.60 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $144.54 Typical High $245.47 | Professional | 26 · Professional part | $97.72 | $144.54 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $426.58 Typical High $851.14 | Professional | TC · Technical part | $234.42 | $426.58 | $851.14 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
BCBS New Mexico Setting Facility Modifier None Typical Low $794.33 Median $2,884.03 Typical High $4,466.84 | Facility | None | $794.33 | $2,884.03 | $4,466.84 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $74.13 Median $239.88 Typical High $446.68 | Professional | None (both parts) | $74.13 | $239.88 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $812.83 Typical High $1,096.48 | Professional | None (both parts) | $331.13 | $812.83 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $125.89 Typical High $181.97 | Professional | 26 · Professional part | $91.20 | $125.89 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $691.83 Typical High $933.25 | Professional | TC · Technical part | $229.09 | $691.83 | $933.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $354.81 Typical High $467.74 | Professional | None (both parts) | $33.11 | $354.81 | $467.74 |
Providence Setting Facility Modifier None Typical Low $316.23 Median $1,258.93 Typical High $1,258.93 | Facility | None | $316.23 | $1,258.93 | $1,258.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $363.08 Median $812.83 Typical High $1,096.48 | Professional | None (both parts) | $363.08 | $812.83 | $1,096.48 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $181.97 | Professional | 26 · Professional part | $97.72 | $131.83 | $181.97 |
Providence Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $691.83 Typical High $933.25 | Professional | TC · Technical part | $257.04 | $691.83 | $933.25 |
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 $338.84 Median $630.96 Typical High $1,000.00 | Professional | None (both parts) | $338.84 | $630.96 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $97.72 Typical High $218.78 | Professional | 26 · Professional part | $91.20 | $97.72 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $537.03 Typical High $831.76 | Professional | TC · Technical part | $239.88 | $537.03 | $831.76 |
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 $165.96 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $165.96 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $66.07 | $141.25 | $141.25 |
Where New Mexico sits
The same service costs 5.8 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
$437
WY $1,349UT $234
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.