How much rates vary
Facilitymedian $407 · 10th to 90th $123 to $741Professionalmedian $102 · 10th to 90th $38 to $174
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 $81.28 Median $131.83 Typical High $194.98 | Facility | None | $81.28 | $131.83 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $131.83 Typical High $177.83 | Professional | None (both parts) | $81.28 | $131.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $51.29 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $81.28 Typical High $104.71 | Professional | TC · Technical part | $51.29 | $81.28 | $104.71 |
BCBS New Mexico Setting Facility Modifier None Typical Low $138.04 Median $467.74 Typical High $758.58 | Facility | None | $138.04 | $467.74 | $758.58 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $28.84 Median $75.86 Typical High $109.65 | Professional | None (both parts) | $28.84 | $75.86 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $91.20 | $134.90 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $50.12 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $50.12 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $85.11 Typical High $117.49 | Professional | TC · Technical part | $57.54 | $85.11 | $117.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $77.62 Typical High $123.03 | Professional | None (both parts) | $33.11 | $77.62 | $123.03 |
Providence Setting Facility Modifier None Typical Low $64.57 Median $123.03 Typical High $141.25 | Facility | None | $64.57 | $123.03 | $141.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $91.20 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $91.20 | $154.88 | $208.93 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $52.48 | $69.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $85.11 Typical High $117.49 | Professional | TC · Technical part | $57.54 | $85.11 | $117.49 |
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 $109.65 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $109.65 | $114.82 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $85.11 | Professional | 26 · Professional part | $41.69 | $43.65 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $141.25 | Professional | TC · Technical part | $69.18 | $72.44 | $141.25 |
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 $40.74 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $40.74 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $16.60 | $26.30 | $26.30 |
Where New Mexico sits
The same service costs 4.6 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· 45th of 51
$102
AK $331UT $72.44
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.