How much rates vary
Facilitymedian $871 · 10th to 90th $59 to $1,413Professionalmedian $41 · 10th to 90th $15 to $81
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 $30.20 Median $48.98 Typical High $74.13 | Facility | None | $30.20 | $48.98 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $48.98 Typical High $123.03 | Professional | None (both parts) | $30.20 | $48.98 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $18.62 Typical High $37.15 | Professional | 26 · Professional part | $11.22 | $18.62 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $30.20 Typical High $72.44 | Professional | TC · Technical part | $19.05 | $30.20 | $72.44 |
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 $10.96 Median $28.84 Typical High $47.86 | Professional | None (both parts) | $10.96 | $28.84 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $67.61 Typical High $91.20 | Professional | None (both parts) | $36.31 | $67.61 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.62 Typical High $25.12 | Professional | 26 · Professional part | $12.88 | $18.62 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $50.12 Typical High $63.10 | Professional | TC · Technical part | $23.44 | $50.12 | $63.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.20 Median $23.99 Typical High $46.77 | Professional | None (both parts) | $18.20 | $23.99 | $46.77 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $81.28 Typical High $95.50 | Facility | None | $23.99 | $81.28 | $95.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $36.31 Median $67.61 Typical High $91.20 | Professional | None (both parts) | $36.31 | $67.61 | $91.20 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.62 Typical High $25.12 | Professional | 26 · Professional part | $12.88 | $18.62 | $25.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $50.12 Typical High $63.10 | Professional | TC · Technical part | $23.44 | $50.12 | $63.10 |
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 $40.74 Median $61.66 Typical High $95.50 | Professional | None (both parts) | $40.74 | $61.66 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.22 Typical High $31.62 | Professional | 26 · Professional part | $15.49 | $16.22 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $24.55 | $39.81 | $60.26 |
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 $15.14 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $15.14 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $6.03 | $9.77 | $9.77 |
Where New Mexico sits
The same service costs 3.8 times more in Alaska than in New York. 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· 46th of 51
$44.67
AK $115NY $30.20
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.