How much rates vary
Facilitymedian $871 · 10th to 90th $123 to $1,380Professionalmedian $120 · 10th to 90th $28 to $204
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $102.33 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $17.38 | $28.84 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $134.90 Typical High $141.25 | Professional | TC · Technical part | $85.11 | $134.90 | $141.25 |
BCBS New Mexico Setting Facility Modifier None Typical Low $257.04 Median $933.25 Typical High $1,412.54 | Facility | None | $257.04 | $933.25 | $1,412.54 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $16.60 Median $63.10 Typical High $154.88 | Professional | None (both parts) | $16.60 | $63.10 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $107.15 | $128.82 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $19.95 | $28.84 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $158.49 | Professional | TC · Technical part | $83.18 | $100.00 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $104.71 Typical High $128.82 | Professional | None (both parts) | $28.18 | $104.71 | $128.82 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $123.03 Typical High $141.25 | Facility | None | $93.33 | $123.03 | $141.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $117.49 | $151.36 | $263.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $19.95 | $28.84 | $38.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $151.36 | Professional | TC · Technical part | $95.50 | $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 $104.71 Median $128.82 Typical High $257.04 | Professional | None (both parts) | $104.71 | $128.82 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $48.98 | Professional | 26 · Professional part | $23.44 | $25.12 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $104.71 Typical High $208.93 | Professional | TC · Technical part | $81.28 | $104.71 | $208.93 |
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 $51.29 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $51.29 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $20.42 | $33.11 | $33.11 |
Where New Mexico sits
The same service costs 4.2 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· 43rd of 51
$123
AK $398UT $95.50
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.