How much rates vary
Facilitymedian $10,233 · 10th to 90th $550 to $16,218Professionalmedian $126 · 10th to 90th $50 to $302
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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $89.13 | $147.91 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $67.61 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $67.61 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $79.43 Typical High $181.97 | Professional | TC · Technical part | $50.12 | $79.43 | $181.97 |
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 $38.02 Median $83.18 Typical High $144.54 | Professional | None (both parts) | $38.02 | $83.18 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $107.15 | $239.88 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $69.18 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $60.26 | $169.82 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $72.44 Typical High $125.89 | Professional | None (both parts) | $33.11 | $72.44 | $125.89 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $549.54 Typical High $588.84 | Facility | None | $63.10 | $549.54 | $588.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $107.15 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $107.15 | $239.88 | $331.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $69.18 | $91.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $60.26 | $169.82 | $229.09 |
United Setting Facility Modifier None Typical Low $10,964.78 Median $10,964.78 Typical High $23,988.33 | Facility | None | $10,964.78 | $10,964.78 | $23,988.33 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $131.83 | $213.80 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $57.54 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $131.83 Typical High $323.59 | Professional | TC · Technical part | $75.86 | $131.83 | $323.59 |
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 $44.67 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $44.67 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $17.78 | $29.51 | $29.51 |
Where New Mexico sits
The same service costs 4.9 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· 44th of 51
$126
AK $372UT $75.86
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.