How much rates vary
Facilitymedian $155 · 10th to 90th $52 to $282Professionalmedian $69 · 10th to 90th $34 to $112
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 $46.77 Median $112.20 Typical High $138.04 | Facility | None | $46.77 | $112.20 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $66.07 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $30.90 | $53.70 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $29.51 | $58.88 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | None (both parts) | $75.86 | $75.86 | $79.43 |
BCBS New Mexico Setting Facility Modifier None Typical Low $52.48 Median $181.97 Typical High $288.40 | Facility | None | $52.48 | $181.97 | $288.40 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $25.70 Median $52.48 Typical High $83.18 | Professional | None (both parts) | $25.70 | $52.48 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $74.13 Typical High $109.65 | Professional | None (both parts) | $60.26 | $74.13 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $39.81 | $45.71 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.18 Typical High $57.54 | Professional | TC · Technical part | $20.42 | $28.18 | $57.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $56.23 Typical High $109.65 | Professional | None (both parts) | $33.11 | $56.23 | $109.65 |
Providence Setting Professional Modifier None (both parts) Typical Low $60.26 Median $81.28 Typical High $109.65 | Professional | None (both parts) | $60.26 | $81.28 | $109.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $39.81 | $45.71 | $64.57 |
Providence Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.18 Typical High $57.54 | Professional | TC · Technical part | $20.42 | $28.18 | $57.54 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $162.18 | Facility | None | $74.13 | $74.13 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $95.50 Typical High $125.89 | Professional | None (both parts) | $72.44 | $95.50 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $74.13 | Professional | 26 · Professional part | $41.69 | $54.95 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $39.81 Typical High $56.23 | Professional | TC · Technical part | $27.54 | $39.81 | $56.23 |
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 $33.11 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $33.11 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $13.18 | $22.39 | $22.39 |
Where New Mexico sits
The same service costs 3.4 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· 46th of 51
$69.18
AK $182NY $53.70
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.