How much rates vary
Facilitymedian $407 · 10th to 90th $126 to $724Professionalmedian $138 · 10th to 90th $35 to $251
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 $117.49 Median $208.93 Typical High $257.04 | Facility | None | $117.49 | $208.93 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $117.49 | $190.55 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $33.88 | $61.66 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $128.82 Typical High $199.53 | Professional | TC · Technical part | $81.28 | $128.82 | $199.53 |
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 $33.11 Median $97.72 Typical High $177.83 | Professional | None (both parts) | $33.11 | $97.72 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $131.83 | $177.83 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $42.66 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $131.83 Typical High $186.21 | Professional | TC · Technical part | $91.20 | $131.83 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $33.11 | $97.72 | $147.91 |
Providence Setting Facility Modifier None Typical Low $102.33 Median $147.91 Typical High $177.83 | Facility | None | $102.33 | $147.91 | $177.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $131.83 | $204.17 | $295.12 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $43.65 | $70.79 |
Providence Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $186.21 | Professional | TC · Technical part | $91.20 | $134.90 | $186.21 |
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 $131.83 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $131.83 | $154.88 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $33.11 | $48.98 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $100.00 | $109.65 | $204.17 |
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 $58.88 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $58.88 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $23.44 | $38.02 | $38.02 |
Where New Mexico sits
The same service costs 4.3 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· 47th of 51
$138
AK $447UT $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.