How much rates vary
Facilitymedian $871 · 10th to 90th $123 to $1,413Professionalmedian $76 · 10th to 90th $18 to $178
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 $57.54 Median $91.20 Typical High $141.25 | Facility | None | $57.54 | $91.20 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $91.20 Typical High $208.93 | Professional | None (both parts) | $57.54 | $91.20 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $30.90 Typical High $41.69 | Professional | 26 · Professional part | $17.78 | $30.90 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $61.66 Typical High $177.83 | Professional | TC · Technical part | $38.90 | $61.66 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
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 $52.48 Typical High $89.13 | Professional | None (both parts) | $16.60 | $52.48 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $69.18 | $134.90 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.39 Typical High $35.48 | Professional | 26 · Professional part | $18.20 | $22.39 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $114.82 Typical High $154.88 | Professional | TC · Technical part | $47.86 | $114.82 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $33.11 | Professional | None (both parts) | $28.84 | $28.84 | $33.11 |
Providence Setting Facility Modifier None Typical Low $48.98 Median $158.49 Typical High $165.96 | Facility | None | $48.98 | $158.49 | $165.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $69.18 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $69.18 | $134.90 | $199.53 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.91 Typical High $35.48 | Professional | 26 · Professional part | $19.95 | $22.91 | $35.48 |
Providence Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $114.82 Typical High $154.88 | Professional | TC · Technical part | $47.86 | $114.82 | $154.88 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $1,513.56 | Facility | None | $691.83 | $691.83 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $120.23 Typical High $323.59 | Professional | None (both parts) | $75.86 | $120.23 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.70 Typical High $43.65 | Professional | 26 · Professional part | $17.38 | $25.70 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $97.72 Typical High $257.04 | Professional | TC · Technical part | $48.98 | $97.72 | $257.04 |
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 $28.84 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $28.84 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $11.48 | $18.62 | $18.62 |
Where New Mexico sits
The same service costs 5.4 times more in New York than in Texas. 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
$83.18
NY $355TX $66.07
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.