How much rates vary
Facilitymedian $10,233 · 10th to 90th $562 to $15,849Professionalmedian $178 · 10th to 90th $66 to $380
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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $120.23 | $204.17 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $117.49 Typical High $147.91 | Professional | 26 · Professional part | $61.66 | $117.49 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $85.11 Typical High $234.42 | Professional | TC · Technical part | $53.70 | $85.11 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $89.13 | Professional | 26 · Professional part | $61.66 | $61.66 | $89.13 |
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 $61.66 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $61.66 | $114.82 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $295.12 Typical High $436.52 | Professional | None (both parts) | $144.54 | $295.12 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $66.07 | $79.43 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $223.87 Typical High $316.23 | Professional | TC · Technical part | $63.10 | $223.87 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $33.11 | $109.65 | $190.55 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $562.34 Typical High $616.60 | Facility | None | $67.61 | $562.34 | $616.60 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $295.12 Typical High $436.52 | Professional | None (both parts) | $144.54 | $295.12 | $436.52 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $134.90 | Professional | 26 · Professional part | $75.86 | $81.28 | $134.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $223.87 Typical High $302.00 | Professional | TC · Technical part | $63.10 | $223.87 | $302.00 |
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 $177.83 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $177.83 | $288.40 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $95.50 Typical High $165.96 | Professional | 26 · Professional part | $63.10 | $95.50 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $181.97 Typical High $346.74 | Professional | TC · Technical part | $81.28 | $181.97 | $346.74 |
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 $60.26 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $60.26 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $23.99 | $40.74 | $40.74 |
Where New Mexico sits
The same service costs 5.1 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· 45th of 51
$178
AK $513UT $100
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.