How much rates vary
Facilitymedian $316 · 10th to 90th $93 to $501Professionalmedian $115 · 10th to 90th $31 to $191
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 $87.10 Median $138.04 Typical High $190.55 | Facility | None | $87.10 | $138.04 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $87.10 | $138.04 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $38.90 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $100.00 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $100.00 | $141.25 |
BCBS New Mexico Setting Facility Modifier None Typical Low $93.33 Median $338.84 Typical High $512.86 | Facility | None | $93.33 | $338.84 | $512.86 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $22.39 Median $77.62 Typical High $128.82 | Professional | None (both parts) | $22.39 | $77.62 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $138.04 Typical High $199.53 | Professional | None (both parts) | $93.33 | $138.04 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $51.29 | Professional | 26 · Professional part | $25.70 | $37.15 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $102.33 Typical High $144.54 | Professional | TC · Technical part | $67.61 | $102.33 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $77.62 Typical High $128.82 | Professional | None (both parts) | $33.11 | $77.62 | $128.82 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $125.89 Typical High $147.91 | Facility | None | $79.43 | $125.89 | $147.91 |
Providence Setting Professional Modifier None (both parts) Typical Low $93.33 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $93.33 | $158.49 | $218.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $38.90 | $51.29 |
Providence Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $102.33 Typical High $141.25 | Professional | TC · Technical part | $67.61 | $102.33 | $141.25 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $457.09 | Facility | None | $204.17 | $204.17 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $229.09 | Professional | None (both parts) | $114.82 | $120.23 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $33.11 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $83.18 | $87.10 | $165.96 |
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 $42.66 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $42.66 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $17.38 | $27.54 | $27.54 |
Where New Mexico sits
The same service costs 3.9 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· 39th of 51
$117
AK $339TX $87.10
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.