How much rates vary
Facilitymedian $661 · 10th to 90th $107 to $1,175Professionalmedian $107 · 10th to 90th $21 to $166
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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $100.00 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $12.59 | $17.78 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $131.83 | Professional | TC · Technical part | $89.13 | $120.23 | $131.83 |
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 $10.47 Median $38.90 Typical High $117.49 | Professional | None (both parts) | $10.47 | $38.90 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $77.62 | $102.33 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $23.99 | Professional | 26 · Professional part | $11.75 | $14.45 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $66.07 | $87.10 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $158.49 Typical High $177.83 | Professional | None (both parts) | $20.89 | $158.49 | $177.83 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $107.15 Typical High $112.20 | Facility | None | $79.43 | $107.15 | $112.20 |
Providence Setting Professional Modifier None (both parts) Typical Low $77.62 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $77.62 | $102.33 | $158.49 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $23.99 | Professional | 26 · Professional part | $11.75 | $14.45 | $23.99 |
Providence Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $66.07 | $87.10 | $134.90 |
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 $81.28 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $81.28 | $125.89 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.20 Typical High $25.70 | Professional | 26 · Professional part | $13.18 | $18.20 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $67.61 | $107.15 | $162.18 |
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 $50.12 Median $69.18 Typical High $74.13 | Professional | 52 · Reduced service | $50.12 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $27.54 Typical High $29.51 | Professional | 53 · Discontinued | $19.95 | $27.54 | $29.51 |
Where New Mexico sits
The same service costs 3.0 times more in Alaska than in Florida. 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
$107
AK $245FL $81.28
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.