How much rates vary
Facilitymedian $10,233 · 10th to 90th $562 to $15,849Professionalmedian $145 · 10th to 90th $60 to $324
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $97.72 | $158.49 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $44.67 | $75.86 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $83.18 Typical High $154.88 | Professional | TC · Technical part | $52.48 | $83.18 | $154.88 |
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 $42.66 Median $91.20 Typical High $199.53 | Professional | None (both parts) | $42.66 | $91.20 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $114.82 | $239.88 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $77.62 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $61.66 | $165.96 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $75.86 Typical High $134.90 | Professional | None (both parts) | $33.11 | $75.86 | $134.90 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $562.34 Typical High $588.84 | Facility | None | $66.07 | $562.34 | $588.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $114.82 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $114.82 | $239.88 | $346.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $77.62 | $104.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $63.10 | $165.96 | $223.87 |
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 $144.54 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $144.54 | $234.42 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $66.07 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $141.25 Typical High $316.23 | Professional | TC · Technical part | $81.28 | $141.25 | $316.23 |
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 $48.98 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $48.98 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $19.50 | $31.62 | $31.62 |
Where New Mexico sits
The same service costs 5.4 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· 40th of 51
$151
AK $407UT $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.