How much rates vary
Facilitymedian $10,233 · 10th to 90th $550 to $15,849Professionalmedian $132 · 10th to 90th $49 to $302
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 $144.54 Typical High $234.42 | Professional | None (both parts) | $89.13 | $144.54 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $61.66 | $77.62 |
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 $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 $37.15 Median $83.18 Typical High $144.54 | Professional | None (both parts) | $37.15 | $83.18 | $144.54 |
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 $239.88 Typical High $338.84 | Professional | None (both parts) | $104.71 | $239.88 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $70.79 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $70.79 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $165.96 Typical High $229.09 | Professional | TC · Technical part | $60.26 | $165.96 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $33.11 | $74.13 | $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 $239.88 Typical High $331.13 | Professional | None (both parts) | $104.71 | $239.88 | $331.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $72.44 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $72.44 | $100.00 |
Providence Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $60.26 | $165.96 | $223.87 |
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 $134.90 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $134.90 | $213.80 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $58.88 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $138.04 Typical High $316.23 | Professional | TC · Technical part | $77.62 | $138.04 | $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 $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $44.67 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $17.78 | $28.84 | $28.84 |
Where New Mexico sits
The same service costs 4.9 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· 40th of 51
$135
AK $372UT $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.