How much rates vary
Facilitymedian $891 · 10th to 90th $102 to $1,413Professionalmedian $91 · 10th to 90th $25 to $214
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 $165.96 Typical High $199.53 | Professional | None (both parts) | $102.33 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $17.38 | $30.20 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $85.11 | $134.90 | $190.55 |
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 $53.70 Typical High $144.54 | Professional | None (both parts) | $16.60 | $53.70 | $144.54 |
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 $72.44 Median $97.72 Typical High $186.21 | Professional | None (both parts) | $72.44 | $97.72 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.39 Typical High $34.67 | Professional | 26 · Professional part | $18.20 | $22.39 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $70.79 Typical High $151.36 | Professional | TC · Technical part | $52.48 | $70.79 | $151.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $33.11 | Professional | None (both parts) | $28.18 | $28.18 | $33.11 |
Providence Setting Facility Modifier None Typical Low $70.79 Median $87.10 Typical High $107.15 | Facility | None | $70.79 | $87.10 | $107.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $75.86 Median $104.71 Typical High $263.03 | Professional | None (both parts) | $75.86 | $104.71 | $263.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.91 Typical High $34.67 | Professional | 26 · Professional part | $19.95 | $22.91 | $34.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $70.79 Typical High $151.36 | Professional | TC · Technical part | $53.70 | $70.79 | $151.36 |
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 $67.61 Median $131.83 Typical High $346.74 | Professional | None (both parts) | $67.61 | $131.83 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.70 Typical High $42.66 | Professional | 26 · Professional part | $17.38 | $25.70 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $107.15 Typical High $331.13 | Professional | TC · Technical part | $50.12 | $107.15 | $331.13 |
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 $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $51.29 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $20.89 | $33.11 | $33.11 |
Where New Mexico sits
The same service costs 4.1 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· 50th of 51
$97.72
AK $398UT $97.72
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.