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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $79.43 Typical High $95.50 | Professional | None (both parts) | $47.86 | $79.43 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $28.84 Typical High $33.11 | Professional | 26 · Professional part | $17.38 | $28.84 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $50.12 Typical High $60.26 | Professional | TC · Technical part | $30.90 | $50.12 | $60.26 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $16.60 Median $77.62 Typical High $154.88 | Professional | None (both parts) | $16.60 | $77.62 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $72.44 | $114.82 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $40.74 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $45.71 | $74.13 | $102.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $33.11 | $35.48 | $35.48 |
Providence Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $162.18 | Facility | None | $128.82 | $128.82 | $162.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $63.10 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $63.10 | $114.82 | $158.49 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $22.91 | $40.74 | $56.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $39.81 | $74.13 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $154.88 | $173.78 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $51.29 | Professional | 26 · Professional part | $28.84 | $36.31 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $194.98 | Professional | TC · Technical part | $120.23 | $138.04 | $194.98 |
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 $23.99 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $23.99 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $9.55 | $15.85 | $15.85 |
Where New Mexico sits
The same service costs 6.6 times more in Nebraska 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· 34th of 51
$115
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.