How much rates vary
Facilitymedian $407 · 10th to 90th $123 to $724Professionalmedian $107 · 10th to 90th $33 to $186
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 $93.33 Median $165.96 Typical High $213.80 | Facility | None | $93.33 | $165.96 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $151.36 Typical High $223.87 | Professional | None (both parts) | $93.33 | $151.36 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $47.86 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $47.86 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $102.33 Typical High $165.96 | Professional | TC · Technical part | $66.07 | $102.33 | $165.96 |
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 $27.54 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $27.54 | $83.18 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $100.00 | $128.82 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $31.62 | $40.74 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $70.79 | $89.13 | $125.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $79.43 Typical High $141.25 | Professional | None (both parts) | $33.11 | $79.43 | $141.25 |
Providence Setting Facility Modifier None Typical Low $81.28 Median $123.03 Typical High $138.04 | Facility | None | $81.28 | $123.03 | $138.04 |
Providence Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $107.15 | $151.36 | $239.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $42.66 | $63.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $125.89 | Professional | TC · Technical part | $74.13 | $91.20 | $125.89 |
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 $102.33 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $102.33 | $123.03 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $77.62 | Professional | 26 · Professional part | $33.88 | $41.69 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $158.49 | Professional | TC · Technical part | $69.18 | $81.28 | $158.49 |
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 $46.77 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $46.77 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $18.62 | $30.20 | $30.20 |
Where New Mexico sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$110
AK $363FL $97.72
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.