How much rates vary
Facilitymedian $257 · 10th to 90th $63 to $427Professionalmedian $30 · 10th to 90th $15 to $56
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 $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $26.92 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $20.42 Typical High $20.89 | Professional | 26 · Professional part | $12.88 | $20.42 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $21.88 Typical High $21.88 | Professional | TC · Technical part | $13.80 | $21.88 | $21.88 |
BCBS New Mexico Setting Facility Modifier None Typical Low $77.62 Median $269.15 Typical High $426.58 | Facility | None | $77.62 | $269.15 | $426.58 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $11.22 Median $22.91 Typical High $30.20 | Professional | None (both parts) | $11.22 | $22.91 | $30.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $46.77 Typical High $74.13 | Professional | None (both parts) | $25.70 | $46.77 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.60 Typical High $27.54 | Professional | 26 · Professional part | $12.88 | $16.60 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $30.20 Typical High $48.98 | Professional | TC · Technical part | $12.88 | $30.20 | $48.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.39 Median $23.99 Typical High $45.71 | Professional | None (both parts) | $22.39 | $23.99 | $45.71 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $63.10 Typical High $67.61 | Facility | None | $46.77 | $63.10 | $67.61 |
Providence Setting Professional Modifier None (both parts) Typical Low $25.70 Median $46.77 Typical High $74.13 | Professional | None (both parts) | $25.70 | $46.77 | $74.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.60 Typical High $27.54 | Professional | 26 · Professional part | $12.88 | $16.60 | $27.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $30.20 Typical High $48.98 | Professional | TC · Technical part | $12.88 | $30.20 | $48.98 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $257.04 | Facility | None | $114.82 | $114.82 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $48.98 Typical High $74.13 | Professional | None (both parts) | $28.84 | $48.98 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $20.42 Typical High $27.54 | Professional | 26 · Professional part | $14.13 | $20.42 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $30.20 Typical High $48.98 | Professional | TC · Technical part | $15.14 | $30.20 | $48.98 |
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 $13.49 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $13.49 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $5.37 | $8.51 | $8.51 |
Where New Mexico sits
The same service costs 3.4 times more in Alaska than in New York. 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· 44th of 51
$30.20
AK $87.10NY $25.70
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.