How much rates vary
Facilitymedian $3,548 · 10th to 90th $115 to $5,754Professionalmedian $98 · 10th to 90th $35 to $191
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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $81.28 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $50.12 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $70.79 Typical High $114.82 | Professional | TC · Technical part | $45.71 | $70.79 | $114.82 |
BCBS New Mexico Setting Facility Modifier None Typical Low $1,047.13 Median $3,715.35 Typical High $5,754.40 | Facility | None | $1,047.13 | $3,715.35 | $5,754.40 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $28.18 Median $70.79 Typical High $120.23 | Professional | None (both parts) | $28.18 | $70.79 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $138.04 Typical High $194.98 | Professional | None (both parts) | $93.33 | $138.04 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $42.66 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $97.72 Typical High $138.04 | Professional | TC · Technical part | $51.29 | $97.72 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $58.88 Typical High $125.89 | Professional | None (both parts) | $33.11 | $58.88 | $125.89 |
Providence Setting Facility Modifier None Typical Low $56.23 Median $114.82 Typical High $141.25 | Facility | None | $56.23 | $114.82 | $141.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $95.50 | $151.36 | $229.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $43.65 | $72.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $97.72 Typical High $138.04 | Professional | TC · Technical part | $51.29 | $97.72 | $138.04 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $6,918.31 | Facility | None | $3,090.30 | $3,090.30 | $6,918.31 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $107.15 | $117.49 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $35.48 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $79.43 | $147.91 |
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 $40.74 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $40.74 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $16.60 | $26.92 | $26.92 |
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· 44th of 51
$107
AK $316UT $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.