How much rates vary
Facilitymedian $407 · 10th to 90th $117 to $741Professionalmedian $95 · 10th to 90th $29 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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $75.86 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $22.39 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $53.70 | $83.18 | $83.18 |
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 $20.89 Median $67.61 Typical High $114.82 | Professional | None (both parts) | $20.89 | $67.61 | $114.82 |
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 $89.13 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $89.13 | $131.83 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $36.31 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $36.31 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $131.83 | Professional | TC · Technical part | $64.57 | $95.50 | $131.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $79.43 Typical High $95.50 | Professional | None (both parts) | $33.11 | $79.43 | $95.50 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $117.49 Typical High $131.83 | Facility | None | $66.07 | $117.49 | $131.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $89.13 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $89.13 | $138.04 | $190.55 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $38.02 | $50.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $131.83 | Professional | TC · Technical part | $64.57 | $95.50 | $131.83 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $380.19 | Facility | None | $169.82 | $169.82 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $208.93 | Professional | None (both parts) | $100.00 | $109.65 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $31.62 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $147.91 | Professional | TC · Technical part | $69.18 | $75.86 | $147.91 |
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 $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $38.02 | $60.26 | $60.26 |
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· 41st of 51
$97.72
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.