How much rates vary
Facilitymedian $3,548 · 10th to 90th $550 to $5,754Professionalmedian $132 · 10th to 90th $50 to $288
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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $89.13 | $147.91 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $38.90 | $67.61 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $79.43 Typical High $173.78 | Professional | TC · Technical part | $50.12 | $79.43 | $173.78 |
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 $38.90 Median $83.18 Typical High $141.25 | Professional | None (both parts) | $38.90 | $83.18 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $229.09 Typical High $331.13 | Professional | None (both parts) | $104.71 | $229.09 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $66.07 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $165.96 Typical High $229.09 | Professional | TC · Technical part | $57.54 | $165.96 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $70.79 Typical High $138.04 | Professional | None (both parts) | $33.11 | $70.79 | $138.04 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $549.54 Typical High $575.44 | Facility | None | $63.10 | $549.54 | $575.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $104.71 Median $229.09 Typical High $331.13 | Professional | None (both parts) | $104.71 | $229.09 | $331.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $45.71 | $66.07 | $89.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $58.88 | $165.96 | $223.87 |
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 $131.83 Median $213.80 Typical High $363.08 | Professional | None (both parts) | $131.83 | $213.80 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $57.54 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $131.83 Typical High $316.23 | Professional | TC · Technical part | $75.86 | $131.83 | $316.23 |
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 $44.67 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $44.67 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $17.78 | $29.51 | $29.51 |
Where New Mexico sits
The same service costs 4.8 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· 41st of 51
$135
AK $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.