How much rates vary
Facilitymedian $324 · 10th to 90th $93 to $513Professionalmedian $174 · 10th to 90th $69 to $309
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 $144.54 Median $257.04 Typical High $257.04 | Facility | None | $144.54 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $144.54 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $64.57 | $107.15 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $125.89 Typical High $128.82 | Professional | TC · Technical part | $81.28 | $125.89 | $128.82 |
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 $60.26 Median $131.83 Typical High $213.80 | Professional | None (both parts) | $60.26 | $131.83 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $158.49 | $239.88 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $104.71 Typical High $144.54 | Professional | 26 · Professional part | $69.18 | $104.71 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $134.90 Typical High $186.21 | Professional | TC · Technical part | $89.13 | $134.90 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $33.11 | $120.23 | $218.78 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $251.19 | Facility | None | $154.88 | $213.80 | $251.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $158.49 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $158.49 | $269.15 | $363.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $109.65 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $109.65 | $141.25 |
Providence Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $134.90 Typical High $186.21 | Professional | TC · Technical part | $89.13 | $134.90 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $398.11 | Professional | None (both parts) | $204.17 | $204.17 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $91.20 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $114.82 Typical High $218.78 | Professional | TC · Technical part | $109.65 | $114.82 | $218.78 |
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 $72.44 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $72.44 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $28.84 | $46.77 | $46.77 |
Where New Mexico sits
The same service costs 5.8 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· 46th of 51
$178
AK $589UT $102
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.