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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $75.86 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $19.50 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $56.23 | $91.20 | $91.20 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $18.20 Median $63.10 Typical High $154.88 | Professional | None (both parts) | $18.20 | $63.10 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $125.89 Typical High $169.82 | Professional | None (both parts) | $85.11 | $125.89 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $21.88 | $32.36 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $93.33 Typical High $125.89 | Professional | TC · Technical part | $63.10 | $93.33 | $125.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | None (both parts) | $30.90 | $30.90 | $33.11 |
Providence Setting Facility Modifier None Typical Low $131.83 Median $165.96 Typical High $177.83 | Facility | None | $131.83 | $165.96 | $177.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $85.11 Median $125.89 Typical High $169.82 | Professional | None (both parts) | $85.11 | $125.89 | $169.82 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $21.88 | $32.36 | $43.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $93.33 Typical High $125.89 | Professional | TC · Technical part | $63.10 | $93.33 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $141.25 Typical High $194.98 | Professional | None (both parts) | $125.89 | $141.25 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $38.90 | Professional | 26 · Professional part | $25.70 | $27.54 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $154.88 | Professional | TC · Technical part | $100.00 | $114.82 | $154.88 |
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 $38.02 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $38.02 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $15.14 | $25.12 | $25.12 |
Where New Mexico sits
The same service costs 4.0 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· 33rd of 51
$126
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.