How much rates vary
Facilitymedian $550 · 10th to 90th $68 to $13,804Professionalmedian $138 · 10th to 90th $50 to $309
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $154.88 Typical High $371.54 | Professional | None (both parts) | $93.33 | $154.88 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $67.61 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $67.61 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $85.11 Typical High $204.17 | Professional | TC · Technical part | $53.70 | $85.11 | $204.17 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $38.02 Median $87.10 Typical High $147.91 | Professional | None (both parts) | $38.02 | $87.10 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $109.65 | $234.42 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $45.71 | $69.18 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $64.57 | $169.82 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $75.86 Typical High $144.54 | Professional | None (both parts) | $33.11 | $75.86 | $144.54 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $549.54 Typical High $588.84 | Facility | None | $67.61 | $549.54 | $588.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $109.65 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $109.65 | $234.42 | $331.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $45.71 | $69.18 | $93.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $64.57 | $169.82 | $229.09 |
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 $141.25 Median $223.87 Typical High $371.54 | Professional | None (both parts) | $141.25 | $223.87 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $57.54 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $141.25 Typical High $316.23 | Professional | TC · Technical part | $83.18 | $141.25 | $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 $46.77 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $46.77 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $18.62 | $30.90 | $30.90 |
Where New Mexico sits
The same service costs 4.1 times more in Alaska than in Texas. 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
$138
AK $389TX $95.50
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.