How much rates vary
Facilitymedian $3,631 · 10th to 90th $575 to $5,888Professionalmedian $170 · 10th to 90th $78 to $355
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $169.82 Typical High $223.87 | Professional | None (both parts) | $102.33 | $169.82 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $48.98 | $83.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $85.11 Typical High $158.49 | Professional | TC · Technical part | $53.70 | $85.11 | $158.49 |
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 $60.26 Median $123.03 Typical High $831.76 | Professional | None (both parts) | $60.26 | $123.03 | $831.76 |
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 $120.23 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $120.23 | $251.19 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $85.11 | $112.20 |
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 $77.62 Typical High $144.54 | Professional | None (both parts) | $33.11 | $77.62 | $144.54 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $575.44 Typical High $602.56 | Facility | None | $67.61 | $575.44 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $120.23 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $120.23 | $251.19 | $354.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $85.11 | $112.20 |
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 $151.36 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $151.36 | $245.47 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $70.79 Typical High $138.04 | Professional | 26 · Professional part | $69.18 | $70.79 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $144.54 Typical High $316.23 | Professional | TC · Technical part | $83.18 | $144.54 | $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 $51.29 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $51.29 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $20.42 | $33.88 | $33.88 |
Where New Mexico sits
The same service costs 4.5 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· 32nd of 51
$195
AK $427UT $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.