How much rates vary
Facilitymedian $631 · 10th to 90th $59 to $1,175Professionalmedian $21 · 10th to 90th $13 to $48
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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $20.89 Typical High $20.89 | Professional | None (both parts) | $14.45 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $12.02 | $16.60 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.88 Median $4.17 Typical High $4.17 | Professional | TC · Technical part | $2.88 | $4.17 | $4.17 |
BCBS New Mexico Setting Facility Modifier None Typical Low $213.80 Median $741.31 Typical High $1,174.90 | Facility | None | $213.80 | $741.31 | $1,174.90 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $10.00 Median $13.18 Typical High $25.12 | Professional | None (both parts) | $10.00 | $13.18 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.18 Median $35.48 Typical High $47.86 | Professional | None (both parts) | $13.18 | $35.48 | $47.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.49 Typical High $21.88 | Professional | 26 · Professional part | $11.22 | $13.49 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.91 Median $22.39 Typical High $26.92 | Professional | TC · Technical part | $1.91 | $22.39 | $26.92 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.01 Median $25.12 Typical High $70.79 | Professional | None (both parts) | $5.01 | $25.12 | $70.79 |
Providence Setting Facility Modifier None Typical Low $42.66 Median $58.88 Typical High $64.57 | Facility | None | $42.66 | $58.88 | $64.57 |
Providence Setting Professional Modifier None (both parts) Typical Low $13.18 Median $35.48 Typical High $47.86 | Professional | None (both parts) | $13.18 | $35.48 | $47.86 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.49 Typical High $21.88 | Professional | 26 · Professional part | $11.22 | $13.49 | $21.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1.91 Median $22.39 Typical High $26.92 | Professional | TC · Technical part | $1.91 | $22.39 | $26.92 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $562.34 | Facility | None | $251.19 | $251.19 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $17.38 Median $31.62 Typical High $54.95 | Professional | None (both parts) | $17.38 | $31.62 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.22 Typical High $24.55 | Professional | 26 · Professional part | $12.59 | $16.22 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $17.38 Typical High $38.02 | Professional | TC · Technical part | $2.75 | $17.38 | $38.02 |
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 $7.24 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $7.24 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $2.88 | $4.17 | $4.17 |
Where New Mexico sits
The same service costs 2.5 times more in California than in Texas. 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· 24th of 51
$20.89
CA $40.74TX $16.22
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.