How much rates vary
Facilitymedian $389 · 10th to 90th $95 to $724Professionalmedian $85 · 10th to 90th $26 to $148
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 $74.13 Median $120.23 Typical High $165.96 | Facility | None | $74.13 | $120.23 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $120.23 Typical High $229.09 | Professional | None (both parts) | $74.13 | $120.23 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $20.89 | $36.31 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $85.11 Typical High $173.78 | Professional | TC · Technical part | $53.70 | $85.11 | $173.78 |
BCBS New Mexico Setting Facility Modifier None Typical Low $131.83 Median $467.74 Typical High $724.44 | Facility | None | $131.83 | $467.74 | $724.44 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $20.42 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $20.42 | $66.07 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $104.71 Typical High $144.54 | Professional | None (both parts) | $79.43 | $104.71 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $27.54 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $107.15 | Professional | TC · Technical part | $58.88 | $77.62 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $64.57 Typical High $112.20 | Professional | None (both parts) | $33.11 | $64.57 | $112.20 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $95.50 Typical High $109.65 | Facility | None | $67.61 | $95.50 | $109.65 |
Providence Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $83.18 | $123.03 | $190.55 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $41.69 | Professional | 26 · Professional part | $23.99 | $28.84 | $41.69 |
Providence Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $107.15 | Professional | TC · Technical part | $60.26 | $77.62 | $107.15 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $758.58 | Facility | None | $346.74 | $346.74 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $83.18 | $97.72 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $22.39 | $30.90 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $131.83 | Professional | TC · Technical part | $60.26 | $67.61 | $131.83 |
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 $37.15 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $37.15 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $15.14 | $23.99 | $23.99 |
Where New Mexico sits
The same service costs 3.8 times more in Alaska 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· 46th of 51
$87.10
AK $282UT $74.13
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.