How much rates vary
Facilitymedian $288 · 10th to 90th $78 to $501Professionalmedian $71 · 10th to 90th $25 to $126
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 $43.65 Median $77.62 Typical High $107.15 | Facility | None | $43.65 | $77.62 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $70.79 Typical High $120.23 | Professional | None (both parts) | $43.65 | $70.79 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $35.48 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $36.31 Typical High $69.18 | Professional | TC · Technical part | $22.91 | $36.31 | $69.18 |
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 $19.50 Median $39.81 Typical High $75.86 | Professional | None (both parts) | $19.50 | $39.81 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $97.72 Typical High $141.25 | Professional | None (both parts) | $67.61 | $97.72 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $32.36 Typical High $45.71 | Professional | 26 · Professional part | $22.39 | $32.36 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $66.07 Typical High $95.50 | Professional | TC · Technical part | $40.74 | $66.07 | $95.50 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $48.98 Typical High $79.43 | Professional | None (both parts) | $33.11 | $48.98 | $79.43 |
Providence Setting Facility Modifier None Typical Low $28.84 Median $102.33 Typical High $112.20 | Facility | None | $28.84 | $102.33 | $112.20 |
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 $21.38 Median $33.88 Typical High $45.71 | Professional | 26 · Professional part | $21.38 | $33.88 | $45.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $67.61 Typical High $95.50 | Professional | TC · Technical part | $41.69 | $67.61 | $95.50 |
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 $67.61 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $67.61 | $89.13 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $29.51 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $57.54 Typical High $100.00 | Professional | TC · Technical part | $36.31 | $57.54 | $100.00 |
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 $21.88 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $21.88 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $8.71 | $14.13 | $14.13 |
Where New Mexico sits
The same service costs 4.1 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· 43rd of 51
$70.79
AK $195TX $47.86
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.