How much rates vary
Facilitymedian $10,233 · 10th to 90th $550 to $16,218Professionalmedian $155 · 10th to 90th $49 to $331
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $169.82 Typical High $426.58 | Professional | None (both parts) | $104.71 | $169.82 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $66.07 Typical High $123.03 | Professional | 26 · Professional part | $38.90 | $66.07 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $104.71 Typical High $263.03 | Professional | TC · Technical part | $66.07 | $104.71 | $263.03 |
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 $37.15 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $37.15 | $100.00 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $125.89 | $257.04 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $67.61 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $190.55 Typical High $263.03 | Professional | TC · Technical part | $81.28 | $190.55 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $91.20 Typical High $162.18 | Professional | None (both parts) | $33.11 | $91.20 | $162.18 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $549.54 Typical High $588.84 | Facility | None | $83.18 | $549.54 | $588.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $125.89 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $125.89 | $257.04 | $363.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $67.61 | $89.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $190.55 Typical High $257.04 | Professional | TC · Technical part | $81.28 | $190.55 | $257.04 |
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 $154.88 Median $251.19 Typical High $407.38 | Professional | None (both parts) | $154.88 | $251.19 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $56.23 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $169.82 Typical High $331.13 | Professional | TC · Technical part | $97.72 | $169.82 | $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 $52.48 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $52.48 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $20.89 | $33.88 | $33.88 |
Where New Mexico sits
The same service costs 4.2 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· 46th of 51
$155
AK $437UT $105
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.