How much rates vary
Facilitymedian $457 · 10th to 90th $78 to $776Professionalmedian $60 · 10th to 90th $26 to $151
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 $42.66 Median $77.62 Typical High $107.15 | Facility | None | $42.66 | $77.62 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $70.79 Typical High $123.03 | Professional | None (both parts) | $42.66 | $70.79 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $20.42 | $35.48 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $35.48 Typical High $89.13 | Professional | TC · Technical part | $22.39 | $35.48 | $89.13 |
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 $19.50 Median $41.69 Typical High $69.18 | Professional | None (both parts) | $19.50 | $41.69 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $123.03 Typical High $177.83 | Professional | None (both parts) | $66.07 | $123.03 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $34.67 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $91.20 Typical High $128.82 | Professional | TC · Technical part | $32.36 | $91.20 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $34.67 Typical High $67.61 | Professional | None (both parts) | $33.11 | $34.67 | $67.61 |
Providence Setting Facility Modifier None Typical Low $28.18 Median $114.82 Typical High $131.83 | Facility | None | $28.18 | $114.82 | $131.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $177.83 | Professional | None (both parts) | $85.11 | $123.03 | $177.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $36.31 | $47.86 |
Providence Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $91.20 Typical High $128.82 | Professional | TC · Technical part | $37.15 | $91.20 | $128.82 |
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 $60.26 Median $95.50 Typical High $141.25 | Professional | None (both parts) | $60.26 | $95.50 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $30.20 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $48.98 Typical High $83.18 | Professional | TC · Technical part | $30.20 | $48.98 | $83.18 |
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 $21.38 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $21.38 | $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 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· 44th of 51
$60.26
AK $182TX $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.