How much rates vary
Facilitymedian $562 · 10th to 90th $95 to $13,804Professionalmedian $195 · 10th to 90th $66 to $372
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $117.49 | $190.55 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $39.81 | $69.18 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $75.86 | $120.23 | $204.17 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $72.44 Median $100.00 Typical High $288.40 | Professional | None (both parts) | $72.44 | $100.00 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $144.54 | $269.15 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $46.77 | $74.13 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $194.98 Typical High $275.42 | Professional | TC · Technical part | $95.50 | $194.98 | $275.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $100.00 Typical High $154.88 | Professional | None (both parts) | $33.11 | $100.00 | $154.88 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $562.34 Typical High $602.56 | Facility | None | $95.50 | $562.34 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $144.54 | $269.15 | $389.05 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $46.77 | $77.62 | $102.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $97.72 | $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 $269.15 Typical High $426.58 | Professional | None (both parts) | $165.96 | $269.15 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $112.20 | Professional | 26 · Professional part | $57.54 | $60.26 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $109.65 | $177.83 | $338.84 |
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 $58.88 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $58.88 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $23.44 | $38.02 | $38.02 |
Where New Mexico sits
The same service costs 4.0 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· 36th of 51
$200
AK $479TX $120
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.