How much rates vary
Facilitymedian $427 · 10th to 90th $123 to $776Professionalmedian $89 · 10th to 90th $28 to $178
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 $75.86 Median $134.90 Typical High $234.42 | Facility | None | $75.86 | $134.90 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $123.03 Typical High $181.97 | Professional | None (both parts) | $75.86 | $123.03 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $38.90 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $38.90 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $83.18 Typical High $134.90 | Professional | TC · Technical part | $52.48 | $83.18 | $134.90 |
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 $21.38 Median $61.66 Typical High $89.13 | Professional | None (both parts) | $21.38 | $61.66 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $194.98 | Professional | None (both parts) | $95.50 | $138.04 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $52.48 | Professional | 26 · Professional part | $25.70 | $38.02 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $70.79 | $100.00 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $77.62 Typical High $114.82 | Professional | None (both parts) | $33.11 | $77.62 | $114.82 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $128.82 Typical High $151.36 | Facility | None | $66.07 | $128.82 | $151.36 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $95.50 | $144.54 | $208.93 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $25.70 | $39.81 | $52.48 |
Providence Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $144.54 | Professional | TC · Technical part | $70.79 | $104.71 | $144.54 |
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 $97.72 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $97.72 | $120.23 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $63.10 | Professional | 26 · Professional part | $31.62 | $33.11 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $87.10 | $138.04 |
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 $38.02 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $38.02 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $15.14 | $24.55 | $24.55 |
Where New Mexico sits
The same service costs 4.2 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· 48th of 51
$89.13
AK $302UT $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.