How much rates vary
Facilitymedian $490 · 10th to 90th $135 to $776Professionalmedian $62 · 10th to 90th $33 to $135
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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $57.54 Typical High $95.50 | Professional | None (both parts) | $35.48 | $57.54 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $37.15 Typical High $52.48 | Professional | 26 · Professional part | $22.39 | $37.15 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $20.42 Typical High $43.65 | Professional | TC · Technical part | $12.88 | $20.42 | $43.65 |
BCBS New Mexico Setting Facility Modifier None Typical Low $144.54 Median $524.81 Typical High $812.83 | Facility | None | $144.54 | $524.81 | $812.83 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $26.92 Median $42.66 Typical High $83.18 | Professional | None (both parts) | $26.92 | $42.66 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $102.33 Typical High $147.91 | Professional | None (both parts) | $58.88 | $102.33 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $58.88 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $43.65 Typical High $63.10 | Professional | TC · Technical part | $21.38 | $43.65 | $63.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $44.67 Typical High $87.10 | Professional | None (both parts) | $33.11 | $44.67 | $87.10 |
Providence Setting Facility Modifier None Typical Low $16.22 Median $134.90 Typical High $144.54 | Facility | None | $16.22 | $134.90 | $144.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $67.61 Median $102.33 Typical High $147.91 | Professional | None (both parts) | $67.61 | $102.33 | $147.91 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $40.74 | $58.88 | $85.11 |
Providence Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $43.65 Typical High $63.10 | Professional | TC · Technical part | $24.55 | $43.65 | $63.10 |
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 $53.70 Median $91.20 Typical High $128.82 | Professional | None (both parts) | $53.70 | $91.20 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $32.36 | $47.86 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $39.81 Typical High $58.88 | Professional | TC · Technical part | $21.38 | $39.81 | $58.88 |
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 $17.78 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $17.78 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $7.08 | $11.48 | $11.48 |
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· 37th of 51
$67.61
AK $151TX $39.81
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.