How much rates vary
Facilitymedian $1,995 · 10th to 90th $372 to $3,162Professionalmedian $347 · 10th to 90th $58 to $3,467
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $3,311.31 Typical High $3,467.37 | Professional | None (both parts) | $794.33 | $3,311.31 | $3,467.37 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $38.90 | $67.61 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $3,311.31 Typical High $3,467.37 | Professional | TC · Technical part | $776.25 | $3,311.31 | $3,467.37 |
BCBS New Mexico Setting Facility Modifier None Typical Low $562.34 Median $2,041.74 Typical High $3,090.30 | Facility | None | $562.34 | $2,041.74 | $3,090.30 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $47.86 Median $213.80 Typical High $537.03 | Professional | None (both parts) | $47.86 | $213.80 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $229.09 | $331.13 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $69.18 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $363.08 | Professional | TC · Technical part | $181.97 | $263.03 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $33.11 | $57.54 | $57.54 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $371.54 Typical High $398.11 | Facility | None | $194.98 | $371.54 | $398.11 |
Providence Setting Professional Modifier None (both parts) Typical Low $229.09 Median $363.08 Typical High $2,238,721.14 | Professional | None (both parts) | $229.09 | $363.08 | $2,238,721.14 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $70.79 | $95.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $275.42 Typical High $363.08 | Professional | TC · Technical part | $181.97 | $275.42 | $363.08 |
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 $281.84 Median $2,570.40 Typical High $5,248.07 | Professional | None (both parts) | $281.84 | $2,570.40 | $5,248.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $57.54 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $2,511.89 Typical High $5,128.61 | Professional | TC · Technical part | $223.87 | $2,511.89 | $5,128.61 |
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 $1,047.13 Median $1,659.59 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,047.13 | $1,659.59 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $660.69 Typical High $676.08 | Professional | 53 · Discontinued | $416.87 | $660.69 | $676.08 |
Where New Mexico sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 44th of 51
$363
CO $3,890NJ $257
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.