How much rates vary
Facilitymedian $257 · 10th to 90th $51 to $427Professionalmedian $42 · 10th to 90th $8 to $68
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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $45.71 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.02 Typical High $12.02 | Professional | 26 · Professional part | $7.59 | $12.02 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $38.02 | $56.23 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
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 $6.03 Median $21.88 Typical High $47.86 | Professional | None (both parts) | $6.03 | $21.88 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $50.12 Typical High $69.18 | Professional | None (both parts) | $41.69 | $50.12 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.71 Typical High $13.18 | Professional | 26 · Professional part | $7.24 | $8.71 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $56.23 | Professional | TC · Technical part | $34.67 | $41.69 | $56.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.02 Median $61.66 Typical High $74.13 | Professional | None (both parts) | $12.02 | $61.66 | $74.13 |
Providence Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $56.23 | Facility | None | $38.02 | $51.29 | $56.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $41.69 Median $48.98 Typical High $69.18 | Professional | None (both parts) | $41.69 | $48.98 | $69.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.71 Typical High $12.30 | Professional | 26 · Professional part | $7.24 | $8.71 | $12.30 |
Providence Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $56.23 | Professional | TC · Technical part | $34.67 | $40.74 | $56.23 |
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 $41.69 Median $60.26 Typical High $83.18 | Professional | None (both parts) | $41.69 | $60.26 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.96 Typical High $14.13 | Professional | 26 · Professional part | $7.94 | $10.96 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $48.98 Typical High $69.18 | Professional | TC · Technical part | $33.11 | $48.98 | $69.18 |
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 $22.39 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $22.39 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $9.12 | $13.49 | $13.49 |
Where New Mexico sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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
$43.65
AK $135NJ $38.90
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.