How much rates vary
Facilitymedian $794 · 10th to 90th $135 to $1,259Professionalmedian $105 · 10th to 90th $32 to $191
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $87.10 | $141.25 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $43.65 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $97.72 | $141.25 |
BCBS New Mexico Setting Facility Modifier None Typical Low $234.42 Median $831.76 Typical High $1,288.25 | Facility | None | $234.42 | $831.76 | $1,288.25 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $24.55 Median $79.43 Typical High $120.23 | Professional | None (both parts) | $24.55 | $79.43 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $199.53 | Professional | None (both parts) | $97.72 | $144.54 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $28.18 | $42.66 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $102.33 Typical High $141.25 | Professional | TC · Technical part | $69.18 | $102.33 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $75.86 Typical High $131.83 | Professional | None (both parts) | $33.11 | $75.86 | $131.83 |
Providence Setting Facility Modifier None Typical Low $77.62 Median $134.90 Typical High $151.36 | Facility | None | $77.62 | $134.90 | $151.36 |
Providence Setting Professional Modifier None (both parts) Typical Low $97.72 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $97.72 | $162.18 | $223.87 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $43.65 | $57.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $102.33 Typical High $141.25 | Professional | TC · Technical part | $69.18 | $102.33 | $141.25 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,047.13 | Facility | None | $467.74 | $467.74 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $120.23 | $125.89 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $37.15 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $37.15 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $89.13 Typical High $165.96 | Professional | TC · Technical part | $83.18 | $89.13 | $165.96 |
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 $43.65 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $43.65 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $17.38 | $28.18 | $28.18 |
Where New Mexico sits
The same service costs 3.9 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· 48th of 51
$105
AK $347TX $89.13
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.