How much rates vary
Facilitymedian $10,233 · 10th to 90th $550 to $15,849Professionalmedian $126 · 10th to 90th $50 to $275
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $85.11 | $138.04 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $67.61 Typical High $74.13 | Professional | 26 · Professional part | $38.90 | $67.61 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $72.44 Typical High $169.82 | Professional | TC · Technical part | $45.71 | $72.44 | $169.82 |
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 $38.90 Median $79.43 Typical High $138.04 | Professional | None (both parts) | $38.90 | $79.43 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $100.00 | $229.09 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $67.61 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $162.18 Typical High $218.78 | Professional | TC · Technical part | $53.70 | $162.18 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $69.18 Typical High $131.83 | Professional | None (both parts) | $33.11 | $69.18 | $131.83 |
Providence Setting Facility Modifier None Typical Low $57.54 Median $549.54 Typical High $575.44 | Facility | None | $57.54 | $549.54 | $575.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $100.00 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $100.00 | $229.09 | $316.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $67.61 | $91.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $162.18 Typical High $218.78 | Professional | TC · Technical part | $54.95 | $162.18 | $218.78 |
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 $128.82 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $128.82 | $208.93 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $56.23 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $309.03 | Professional | TC · Technical part | $70.79 | $128.82 | $309.03 |
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 $42.66 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $42.66 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $16.98 | $28.18 | $28.18 |
Where New Mexico sits
The same service costs 4.8 times more in Kansas 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· 43rd of 51
$129
KS $363UT $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.