How much rates vary
Facilitymedian $1,072 · 10th to 90th $74 to $1,738Professionalmedian $56 · 10th to 90th $25 to $100
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 $44.67 Median $74.13 Typical High $104.71 | Facility | None | $44.67 | $74.13 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $74.13 Typical High $109.65 | Professional | None (both parts) | $44.67 | $74.13 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $18.62 | $31.62 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $41.69 Typical High $67.61 | Professional | TC · Technical part | $26.30 | $41.69 | $67.61 |
BCBS New Mexico Setting Facility Modifier None Typical Low $316.23 Median $1,122.02 Typical High $1,737.80 | Facility | None | $316.23 | $1,122.02 | $1,737.80 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $17.78 Median $41.69 Typical High $69.18 | Professional | None (both parts) | $17.78 | $41.69 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $72.44 Typical High $97.72 | Professional | None (both parts) | $51.29 | $72.44 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $21.38 | $32.36 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $40.74 Typical High $54.95 | Professional | TC · Technical part | $30.20 | $40.74 | $54.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $29.51 Median $33.11 Typical High $69.18 | Professional | None (both parts) | $29.51 | $33.11 | $69.18 |
Providence Setting Facility Modifier None Typical Low $33.11 Median $85.11 Typical High $87.10 | Facility | None | $33.11 | $85.11 | $87.10 |
Providence Setting Professional Modifier None (both parts) Typical Low $51.29 Median $85.11 Typical High $114.82 | Professional | None (both parts) | $51.29 | $85.11 | $114.82 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $21.38 | $32.36 | $42.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $40.74 Typical High $54.95 | Professional | TC · Technical part | $30.20 | $40.74 | $54.95 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,398.83 | Facility | None | $1,071.52 | $1,071.52 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $63.10 Typical High $120.23 | Professional | None (both parts) | $60.26 | $63.10 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.92 Typical High $52.48 | Professional | 26 · Professional part | $26.30 | $26.92 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $35.48 Typical High $72.44 | Professional | TC · Technical part | $33.88 | $35.48 | $72.44 |
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 $22.39 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $22.39 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $8.91 | $14.79 | $14.79 |
Where New Mexico sits
The same service costs 3.8 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· 45th of 51
$60.26
AK $178TX $46.77
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.