How much rates vary
Facilitymedian $692 · 10th to 90th $166 to $1,096Professionalmedian $158 · 10th to 90th $59 to $234
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $95.50 | $158.49 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $54.95 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $104.71 Typical High $151.36 | Professional | TC · Technical part | $63.10 | $104.71 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
BCBS New Mexico Setting Facility Modifier None Typical Low $199.53 Median $707.95 Typical High $1,096.48 | Facility | None | $199.53 | $707.95 | $1,096.48 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $34.67 Median $97.72 Typical High $223.87 | Professional | None (both parts) | $34.67 | $97.72 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $125.89 | $162.18 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $74.13 | Professional | 26 · Professional part | $38.90 | $53.70 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $81.28 | $112.20 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $162.18 Typical High $218.78 | Professional | None (both parts) | $33.11 | $162.18 | $218.78 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $165.96 Typical High $169.82 | Facility | None | $144.54 | $165.96 | $169.82 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $263.03 | Professional | None (both parts) | $144.54 | $173.78 | $263.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $41.69 | $53.70 | $72.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $87.10 | $112.20 | $165.96 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $933.25 | Facility | None | $426.58 | $426.58 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $112.20 | $165.96 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $61.66 Typical High $87.10 | Professional | 26 · Professional part | $40.74 | $61.66 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $151.36 | Professional | TC · Technical part | $72.44 | $104.71 | $151.36 |
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 $47.86 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $47.86 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $19.05 | $31.62 | $31.62 |
Where New Mexico sits
The same service costs 3.2 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· 21st of 51
$162
AK $347NY $107
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.