How much rates vary
Facilitymedian $417 · 10th to 90th $54 to $759Professionalmedian $40 · 10th to 90th $12 to $71
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 $33.11 Median $53.70 Typical High $234.42 | Facility | None | $33.11 | $53.70 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $53.70 Typical High $91.20 | Professional | None (both parts) | $33.11 | $53.70 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $16.60 Typical High $33.11 | Professional | 26 · Professional part | $9.77 | $16.60 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $38.02 Typical High $64.57 | Professional | TC · Technical part | $23.44 | $38.02 | $64.57 |
BCBS New Mexico Setting Facility Modifier None Typical Low $141.25 Median $489.78 Typical High $794.33 | Facility | None | $141.25 | $489.78 | $794.33 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $9.33 Median $30.90 Typical High $45.71 | Professional | None (both parts) | $9.33 | $30.90 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $45.71 Typical High $67.61 | Professional | None (both parts) | $37.15 | $45.71 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.98 Typical High $23.99 | Professional | 26 · Professional part | $11.48 | $16.98 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.84 Typical High $43.65 | Professional | TC · Technical part | $23.44 | $28.84 | $43.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $35.48 Typical High $51.29 | Professional | None (both parts) | $15.49 | $35.48 | $51.29 |
Providence Setting Facility Modifier None Typical Low $30.20 Median $53.70 Typical High $54.95 | Facility | None | $30.20 | $53.70 | $54.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $38.90 Median $53.70 Typical High $85.11 | Professional | None (both parts) | $38.90 | $53.70 | $85.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $17.78 Typical High $23.99 | Professional | 26 · Professional part | $11.48 | $17.78 | $23.99 |
Providence Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.84 Typical High $43.65 | Professional | TC · Technical part | $26.92 | $28.84 | $43.65 |
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 $36.31 Median $44.67 Typical High $87.10 | Professional | None (both parts) | $36.31 | $44.67 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.13 Typical High $27.54 | Professional | 26 · Professional part | $13.18 | $14.13 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.90 Typical High $57.54 | Professional | TC · Technical part | $22.91 | $30.90 | $57.54 |
1 more rate 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 $16.60 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $16.60 | $26.92 | $26.92 |
Where New Mexico sits
The same service costs 4.0 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· 46th of 51
$40.74
AK $132UT $33.11
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.