How much rates vary
Facilitymedian $269 · 10th to 90th $78 to $427Professionalmedian $43 · 10th to 90th $19 to $78
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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $58.88 Typical High $60.26 | Professional | None (both parts) | $38.02 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $26.92 Typical High $27.54 | Professional | 26 · Professional part | $16.98 | $26.92 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $32.36 Typical High $33.88 | Professional | TC · Technical part | $20.89 | $32.36 | $33.88 |
BCBS New Mexico Setting Facility Modifier None Typical Low $77.62 Median $281.84 Typical High $426.58 | Facility | None | $77.62 | $281.84 | $426.58 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $14.45 Median $32.36 Typical High $42.66 | Professional | None (both parts) | $14.45 | $32.36 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $64.57 Typical High $104.71 | Professional | None (both parts) | $36.31 | $64.57 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $36.31 | Professional | 26 · Professional part | $16.98 | $21.88 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $42.66 Typical High $69.18 | Professional | TC · Technical part | $19.50 | $42.66 | $69.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $64.57 | Professional | None (both parts) | $28.84 | $35.48 | $64.57 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $83.18 Typical High $87.10 | Facility | None | $61.66 | $83.18 | $87.10 |
Providence Setting Professional Modifier None (both parts) Typical Low $36.31 Median $64.57 Typical High $104.71 | Professional | None (both parts) | $36.31 | $64.57 | $104.71 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $36.31 | Professional | 26 · Professional part | $16.98 | $21.88 | $36.31 |
Providence Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $42.66 Typical High $69.18 | Professional | TC · Technical part | $19.50 | $42.66 | $69.18 |
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 $40.74 Median $67.61 Typical High $107.15 | Professional | None (both parts) | $40.74 | $67.61 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.30 Typical High $36.31 | Professional | 26 · Professional part | $18.62 | $26.30 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $42.66 Typical High $72.44 | Professional | TC · Technical part | $22.39 | $42.66 | $72.44 |
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 $18.62 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $18.62 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $7.59 | $12.02 | $12.02 |
Where New Mexico sits
The same service costs 3.4 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· 44th of 51
$42.66
AK $123UT $36.31
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.