How much rates vary
Facilitymedian $1,778 · 10th to 90th $29 to $3,020Professionalmedian $28 · 10th to 90th $14 to $60
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 $30.20 Median $53.70 Typical High $75.86 | Facility | None | $30.20 | $53.70 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $48.98 Typical High $75.86 | Professional | None (both parts) | $20.42 | $48.98 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $19.05 Typical High $26.92 | Professional | 26 · Professional part | $7.94 | $19.05 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $29.51 Typical High $50.12 | Professional | TC · Technical part | $12.59 | $29.51 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $15.49 | $15.49 | $15.49 |
BCBS New Mexico Setting Facility Modifier None Typical Low $562.34 Median $2,041.74 Typical High $3,090.30 | Facility | None | $562.34 | $2,041.74 | $3,090.30 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $7.59 Median $15.14 Typical High $42.66 | Professional | None (both parts) | $7.59 | $15.14 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $28.18 Typical High $60.26 | Professional | None (both parts) | $20.42 | $28.18 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $8.32 | $12.02 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $15.85 Typical High $38.02 | Professional | TC · Technical part | $11.75 | $15.85 | $38.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $25.12 Typical High $47.86 | Professional | None (both parts) | $17.78 | $25.12 | $47.86 |
Providence Setting Facility Modifier None Typical Low $23.44 Median $28.18 Typical High $28.84 | Facility | None | $23.44 | $28.18 | $28.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $21.38 Median $29.51 Typical High $79.43 | Professional | None (both parts) | $21.38 | $29.51 | $79.43 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $9.33 | $12.02 | $21.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $15.85 Typical High $38.02 | Professional | TC · Technical part | $12.30 | $15.85 | $38.02 |
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 $19.05 Median $38.02 Typical High $72.44 | Professional | None (both parts) | $19.05 | $38.02 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $13.80 Typical High $26.92 | Professional | 26 · Professional part | $7.76 | $13.80 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $21.38 Typical High $45.71 | Professional | TC · Technical part | $11.22 | $21.38 | $45.71 |
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 $15.14 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $15.14 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $6.03 | $9.77 | $9.77 |
Where New Mexico sits
The same service costs 9.3 times more in Alaska than in New York. 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
$29.51
AK $123NY $13.18
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.