How much rates vary
Facilitymedian $490 · 10th to 90th $145 to $776Professionalmedian $178 · 10th to 90th $74 to $295
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $128.82 | $208.93 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $95.50 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $181.97 | Professional | TC · Technical part | $72.44 | $114.82 | $181.97 |
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 $53.70 Median $120.23 Typical High $295.12 | Professional | None (both parts) | $53.70 | $120.23 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $141.25 | $208.93 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $93.33 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $158.49 | Professional | TC · Technical part | $79.43 | $114.82 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $33.11 | $91.20 | $165.96 |
Providence Setting Facility Modifier None Typical Low $91.20 Median $218.78 Typical High $234.42 | Facility | None | $91.20 | $218.78 | $234.42 |
Providence Setting Professional Modifier None (both parts) Typical Low $138.04 Median $239.88 Typical High $316.23 | Professional | None (both parts) | $138.04 | $239.88 | $316.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $61.66 | $95.50 | $125.89 |
Providence Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $158.49 | Professional | TC · Technical part | $75.86 | $120.23 | $158.49 |
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 $177.83 Median $177.83 Typical High $346.74 | Professional | None (both parts) | $177.83 | $177.83 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $79.43 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $194.98 | Professional | TC · Technical part | $100.00 | $100.00 | $194.98 |
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 $64.57 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $64.57 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $25.70 | $41.69 | $41.69 |
Where New Mexico sits
The same service costs 5.2 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· 33rd of 51
$186
AK $537UT $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.