How much rates vary
Facilitymedian $513 · 10th to 90th $95 to $871Professionalmedian $46 · 10th to 90th $11 to $72
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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $34.67 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $9.77 | $16.22 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $37.15 | $57.54 | $57.54 |
BCBS New Mexico Setting Facility Modifier None Typical Low $151.36 Median $524.81 Typical High $831.76 | Facility | None | $151.36 | $524.81 | $831.76 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $8.51 Median $25.12 Typical High $53.70 | Professional | None (both parts) | $8.51 | $25.12 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $52.48 Typical High $79.43 | Professional | None (both parts) | $45.71 | $52.48 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $17.78 | Professional | 26 · Professional part | $9.77 | $12.88 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $38.90 Typical High $63.10 | Professional | TC · Technical part | $36.31 | $38.90 | $63.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.13 Median $51.29 Typical High $56.23 | Professional | None (both parts) | $14.13 | $51.29 | $56.23 |
Providence Setting Facility Modifier None Typical Low $89.13 Median $95.50 Typical High $95.50 | Facility | None | $89.13 | $95.50 | $95.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $45.71 Median $53.70 Typical High $79.43 | Professional | None (both parts) | $45.71 | $53.70 | $79.43 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $17.78 | Professional | 26 · Professional part | $9.77 | $12.88 | $17.78 |
Providence Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $63.10 | Professional | TC · Technical part | $36.31 | $42.66 | $63.10 |
United Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,949.84 | Facility | None | $870.96 | $870.96 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $72.44 Typical High $97.72 | Professional | None (both parts) | $51.29 | $72.44 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.79 Typical High $19.05 | Professional | 26 · Professional part | $10.96 | $14.79 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $57.54 Typical High $77.62 | Professional | TC · Technical part | $40.74 | $57.54 | $77.62 |
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 $16.98 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $16.98 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $6.92 | $14.79 | $14.79 |
Where New Mexico sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 40th of 51
$45.71
AK $110OH $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.