How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $562.34 Typical High $588.84 | Professional | None (both parts) | $354.81 | $562.34 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $16.60 | $28.18 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $562.34 Typical High $588.84 | Professional | TC · Technical part | $354.81 | $562.34 | $588.84 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $15.85 Median $45.71 Typical High $141.25 | Professional | None (both parts) | $15.85 | $45.71 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $70.79 Typical High $95.50 | Professional | None (both parts) | $46.77 | $70.79 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $28.18 Typical High $38.90 | Professional | 26 · Professional part | $19.05 | $28.18 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $41.69 Typical High $58.88 | Professional | TC · Technical part | $28.18 | $41.69 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $33.11 | $60.26 | $60.26 |
Providence Setting Facility Modifier None Typical Low $30.90 Median $97.72 Typical High $102.33 | Facility | None | $30.90 | $97.72 | $102.33 |
Providence Setting Professional Modifier None (both parts) Typical Low $46.77 Median $70.79 Typical High $97.72 | Professional | None (both parts) | $46.77 | $70.79 | $97.72 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $19.05 | $28.84 | $38.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $41.69 Typical High $56.23 | Professional | TC · Technical part | $28.18 | $41.69 | $56.23 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,398.83 | Facility | None | $1,071.52 | $1,071.52 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $501.19 Typical High $912.01 | Professional | None (both parts) | $70.79 | $501.19 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $23.99 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $478.63 Typical High $870.96 | Professional | TC · Technical part | $47.86 | $478.63 | $870.96 |
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 $177.83 Median $281.84 Typical High $295.12 | Professional | 52 · Reduced service | $177.83 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $112.20 Typical High $117.49 | Professional | 53 · Discontinued | $70.79 | $112.20 | $117.49 |
Where New Mexico sits
The same service costs 11.2 times more in Colorado than in Michigan. 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
$77.62
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.