How much rates vary
Facilitymedian $437 · 10th to 90th $126 to $724Professionalmedian $123 · 10th to 90th $33 to $219
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 $107.15 Median $173.78 Typical High $234.42 | Facility | None | $107.15 | $173.78 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $173.78 Typical High $295.12 | Professional | None (both parts) | $107.15 | $173.78 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $31.62 | $53.70 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $75.86 | $120.23 | $204.17 |
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 $30.20 Median $95.50 Typical High $154.88 | Professional | None (both parts) | $30.20 | $95.50 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $114.82 | $147.91 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $33.88 | $40.74 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $151.36 | Professional | TC · Technical part | $83.18 | $104.71 | $151.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $91.20 Typical High $158.49 | Professional | None (both parts) | $33.11 | $91.20 | $158.49 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $134.90 Typical High $154.88 | Facility | None | $93.33 | $134.90 | $154.88 |
Providence Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $269.15 | Professional | None (both parts) | $120.23 | $169.82 | $269.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $36.31 | $42.66 | $63.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $151.36 | Professional | TC · Technical part | $83.18 | $104.71 | $151.36 |
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 $117.49 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $117.49 | $141.25 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $77.62 | Professional | 26 · Professional part | $33.11 | $45.71 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $186.21 | Professional | TC · Technical part | $83.18 | $95.50 | $186.21 |
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 $53.70 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $53.70 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $21.38 | $34.67 | $34.67 |
Where New Mexico sits
The same service costs 3.9 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· 44th of 51
$126
AK $407UT $105
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.