How much rates vary
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $141.25 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $17.38 | $30.90 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $123.03 | $194.98 | $194.98 |
BCBS New Mexico Setting Facility Modifier None Typical Low $2,951.21 Median $10,471.29 Typical High $16,218.10 | Facility | None | $2,951.21 | $10,471.29 | $16,218.10 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $22.39 Median $43.65 Typical High $316.23 | Professional | None (both parts) | $22.39 | $43.65 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $295.12 Typical High $436.52 | Professional | None (both parts) | $158.49 | $295.12 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.20 Typical High $39.81 | Professional | 26 · Professional part | $19.95 | $30.20 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $269.15 Typical High $389.05 | Professional | TC · Technical part | $138.04 | $269.15 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $151.36 Typical High $173.78 | Professional | None (both parts) | $28.18 | $151.36 | $173.78 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $537.03 Typical High $588.84 | Facility | None | $154.88 | $537.03 | $588.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $162.18 Median $295.12 Typical High $436.52 | Professional | None (both parts) | $162.18 | $295.12 | $436.52 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.20 Typical High $39.81 | Professional | 26 · Professional part | $19.95 | $30.20 | $39.81 |
Providence Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $269.15 Typical High $363.08 | Professional | TC · Technical part | $141.25 | $269.15 | $363.08 |
United Setting Facility Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $13,803.84 | Facility | None | $6,165.95 | $6,165.95 | $13,803.84 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $316.23 Typical High $489.78 | Professional | None (both parts) | $204.17 | $316.23 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $25.70 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $177.83 | $281.84 | $426.58 |
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 $69.18 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $69.18 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $28.18 | $44.67 | $44.67 |
Where New Mexico sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 33rd of 51
$251
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.