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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $61.66 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $21.88 | $37.15 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $39.81 | $64.57 | $64.57 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $20.89 Median $81.28 Typical High $190.55 | Professional | None (both parts) | $20.89 | $81.28 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $70.79 | $102.33 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $36.31 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $36.31 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $66.07 Typical High $91.20 | Professional | TC · Technical part | $45.71 | $66.07 | $91.20 |
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 $112.20 Median $112.20 Typical High $154.88 | Facility | None | $112.20 | $112.20 | $154.88 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $70.79 | $102.33 | $144.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $36.31 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $36.31 | $50.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $66.07 Typical High $91.20 | Professional | TC · Technical part | $45.71 | $66.07 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $144.54 | $169.82 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $31.62 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $269.15 | Professional | TC · Technical part | $117.49 | $138.04 | $269.15 |
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 $30.90 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $30.90 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $12.30 | $20.42 | $20.42 |
Where New Mexico sits
The same service costs 4.4 times more in Alaska 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· 45th of 51
$102
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.