How much rates vary
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 $72.44 Median $120.23 Typical High $169.82 | Facility | None | $72.44 | $120.23 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $120.23 Typical High $263.03 | Professional | None (both parts) | $72.44 | $120.23 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $17.78 | $57.54 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $60.26 Typical High $162.18 | Professional | TC · Technical part | $38.02 | $60.26 | $162.18 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $16.60 Median $67.61 Typical High $112.20 | Professional | None (both parts) | $16.60 | $67.61 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $85.11 | $173.78 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $67.61 | Professional | 26 · Professional part | $19.50 | $26.92 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $154.88 Typical High $199.53 | Professional | TC · Technical part | $44.67 | $154.88 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $61.66 Typical High $93.33 | Professional | None (both parts) | $33.11 | $61.66 | $93.33 |
Providence Setting Facility Modifier None Typical Low $426.58 Median $512.86 Typical High $524.81 | Facility | None | $426.58 | $512.86 | $524.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $85.11 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $85.11 | $173.78 | $234.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $67.61 | Professional | 26 · Professional part | $20.89 | $27.54 | $67.61 |
Providence Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $154.88 Typical High $199.53 | Professional | TC · Technical part | $44.67 | $154.88 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $158.49 Typical High $323.59 | Professional | None (both parts) | $104.71 | $158.49 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $33.11 Typical High $83.18 | Professional | 26 · Professional part | $17.78 | $33.11 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $114.82 Typical High $309.03 | Professional | TC · Technical part | $60.26 | $114.82 | $309.03 |
3 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 $36.31 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $36.31 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $14.45 | $23.99 | $23.99 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 59 · Distinct service | $64.57 | $64.57 | $64.57 |
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· 48th of 51
$93.33
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.