How much rates vary
Facilitymedian $501 · 10th to 90th $117 to $813Professionalmedian $93 · 10th to 90th $44 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 $66.07 Median $117.49 Typical High $117.49 | Facility | None | $66.07 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $107.15 Typical High $117.49 | Professional | None (both parts) | $66.07 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $58.88 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $58.88 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $48.98 Typical High $57.54 | Professional | TC · Technical part | $30.90 | $48.98 | $57.54 |
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 $33.11 Median $60.26 Typical High $112.20 | Professional | None (both parts) | $33.11 | $60.26 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $75.86 | $114.82 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $57.54 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $56.23 Typical High $77.62 | Professional | TC · Technical part | $38.02 | $56.23 | $77.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $56.23 Typical High $117.49 | Professional | None (both parts) | $33.11 | $56.23 | $117.49 |
Providence Setting Facility Modifier None Typical Low $102.33 Median $125.89 Typical High $134.90 | Facility | None | $102.33 | $125.89 | $134.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $75.86 Median $123.03 Typical High $169.82 | Professional | None (both parts) | $75.86 | $123.03 | $169.82 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $60.26 | $77.62 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $56.23 Typical High $77.62 | Professional | TC · Technical part | $38.02 | $56.23 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $93.33 | $102.33 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $50.12 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $83.18 | Professional | TC · Technical part | $42.66 | $51.29 | $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 $33.11 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $33.11 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $13.18 | $21.38 | $21.38 |
Where New Mexico sits
The same service costs 4.2 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· 38th of 51
$95.50
AK $275TX $66.07
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.