How much rates vary
Facilitymedian $10,233 · 10th to 90th $550 to $15,849Professionalmedian $155 · 10th to 90th $60 to $339
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $112.20 | $186.21 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $53.70 | $104.71 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $81.28 Typical High $204.17 | Professional | TC · Technical part | $51.29 | $81.28 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | None (both parts) | $100.00 | $100.00 | $104.71 |
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 $53.70 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $53.70 | $104.71 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $257.04 Typical High $371.54 | Professional | None (both parts) | $131.83 | $257.04 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $56.23 | $70.79 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $194.98 Typical High $269.15 | Professional | TC · Technical part | $60.26 | $194.98 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $33.11 | $97.72 | $173.78 |
Providence Setting Facility Modifier None Typical Low $64.57 Median $549.54 Typical High $588.84 | Facility | None | $64.57 | $549.54 | $588.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $131.83 Median $257.04 Typical High $371.54 | Professional | None (both parts) | $131.83 | $257.04 | $371.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $64.57 | $70.79 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $61.66 | $194.98 | $263.03 |
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 $165.96 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $165.96 | $263.03 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $56.23 | $83.18 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $154.88 Typical High $331.13 | Professional | TC · Technical part | $79.43 | $154.88 | $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 $56.23 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $56.23 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $22.39 | $37.15 | $37.15 |
Where New Mexico sits
The same service costs 4.1 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· 43rd of 51
$166
AK $468TX $115
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.