How much rates vary
Facilitymedian $490 · 10th to 90th $145 to $776Professionalmedian $151 · 10th to 90th $30 to $229
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $104.71 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $23.99 | $40.74 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $79.43 | $125.89 | $173.78 |
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 $22.91 Median $85.11 Typical High $186.21 | Professional | None (both parts) | $22.91 | $85.11 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $120.23 | $177.83 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $41.69 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $141.25 Typical High $186.21 | Professional | TC · Technical part | $89.13 | $141.25 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $186.21 Typical High $223.87 | Professional | None (both parts) | $33.11 | $186.21 | $223.87 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $177.83 | Facility | None | $112.20 | $158.49 | $177.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $112.20 Median $190.55 Typical High $371.54 | Professional | None (both parts) | $112.20 | $190.55 | $371.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $41.69 | $57.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $141.25 Typical High $186.21 | Professional | TC · Technical part | $79.43 | $141.25 | $186.21 |
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 $120.23 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $120.23 | $158.49 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $36.31 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $89.13 | $125.89 | $213.80 |
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 $51.29 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $51.29 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $20.89 | $33.11 | $33.11 |
Where New Mexico sits
The same service costs 4.9 times more in Wyoming 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· 29th of 51
$155
WY $501UT $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.