How much rates vary
Facilitymedian $457 · 10th to 90th $132 to $741Professionalmedian $148 · 10th to 90th $65 to $240
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 $107.15 Median $177.83 Typical High $331.13 | Facility | None | $107.15 | $177.83 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $107.15 | $177.83 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $42.66 | $75.86 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $102.33 Typical High $173.78 | Professional | TC · Technical part | $64.57 | $102.33 | $173.78 |
BCBS New Mexico Setting Facility Modifier None Typical Low $138.04 Median $489.78 Typical High $758.58 | Facility | None | $138.04 | $489.78 | $758.58 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $42.66 Median $107.15 Typical High $173.78 | Professional | None (both parts) | $42.66 | $107.15 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $117.49 | $165.96 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $93.33 | Professional | 26 · Professional part | $46.77 | $67.61 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $69.18 | $97.72 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $33.11 | $107.15 | $177.83 |
Providence Setting Facility Modifier None Typical Low $81.28 Median $147.91 Typical High $162.18 | Facility | None | $81.28 | $147.91 | $162.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $117.49 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $117.49 | $181.97 | $269.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $43.65 | $70.79 | $93.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $66.07 | $97.72 | $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 $123.03 Median $144.54 Typical High $288.40 | Professional | None (both parts) | $123.03 | $144.54 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $60.26 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $169.82 | Professional | TC · Technical part | $67.61 | $85.11 | $169.82 |
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 $53.70 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $53.70 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $21.88 | $35.48 | $35.48 |
Where New Mexico sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 41st of 51
$148
AK $468UT $95.50
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.