How much rates vary
Facilitymedian $129 · 10th to 90th $16 to $234Professionalmedian $13 · 10th to 90th $5 to $22
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 $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier None (both parts) Typical Low $8.32 Median $14.13 Typical High $19.05 | Professional | None (both parts) | $8.32 | $14.13 | $19.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $9.77 Typical High $12.30 | Professional | 26 · Professional part | $5.75 | $9.77 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.63 Median $4.47 Typical High $5.62 | Professional | TC · Technical part | $2.63 | $4.47 | $5.62 |
BCBS New Mexico Setting Facility Modifier None Typical Low $43.65 Median $151.36 Typical High $239.88 | Facility | None | $43.65 | $151.36 | $239.88 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $4.68 Median $7.94 Typical High $15.85 | Professional | None (both parts) | $4.68 | $7.94 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10.96 Median $16.22 Typical High $22.39 | Professional | None (both parts) | $10.96 | $16.22 | $22.39 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.22 Typical High $15.49 | Professional | 26 · Professional part | $7.41 | $11.22 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $5.01 Typical High $7.24 | Professional | TC · Technical part | $3.39 | $5.01 | $7.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $3.47 Median $9.12 Typical High $33.11 | Professional | None (both parts) | $3.47 | $9.12 | $33.11 |
Providence Setting Facility Modifier None Typical Low $3.47 Median $15.85 Typical High $16.60 | Facility | None | $3.47 | $15.85 | $16.60 |
Providence Setting Professional Modifier None (both parts) Typical Low $10.96 Median $17.38 Typical High $24.55 | Professional | None (both parts) | $10.96 | $17.38 | $24.55 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.22 Typical High $15.49 | Professional | 26 · Professional part | $7.41 | $11.22 | $15.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $5.13 Typical High $7.24 | Professional | TC · Technical part | $3.39 | $5.13 | $7.24 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $125.89 | Facility | None | $56.23 | $56.23 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $13.49 Typical High $23.99 | Professional | None (both parts) | $12.30 | $13.49 | $23.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $9.55 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $3.98 Typical High $7.94 | Professional | TC · Technical part | $3.63 | $3.98 | $7.94 |
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 $4.17 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $4.17 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.82 Typical High $2.82 | Professional | 53 · Discontinued | $1.70 | $2.82 | $2.82 |
Where New Mexico sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 35th of 51
$13.18
AK $35.48FL $9.12
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.