How much rates vary
Facilitymedian $2,754 · 10th to 90th $302 to $4,786Professionalmedian $240 · 10th to 90th $60 to $372
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 $181.97 Median $331.13 Typical High $380.19 | Facility | None | $181.97 | $331.13 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $302.00 Typical High $331.13 | Professional | None (both parts) | $181.97 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $87.10 Typical High $95.50 | Professional | 26 · Professional part | $50.12 | $87.10 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $213.80 Typical High $234.42 | Professional | TC · Technical part | $131.83 | $213.80 | $234.42 |
BCBS New Mexico Setting Facility Modifier None Typical Low $891.25 Median $3,235.94 Typical High $4,897.79 | Facility | None | $891.25 | $3,235.94 | $4,897.79 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $54.95 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $54.95 | $151.36 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $281.84 Typical High $346.74 | Professional | None (both parts) | $204.17 | $281.84 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $60.26 | $85.11 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $239.88 | Professional | TC · Technical part | $147.91 | $190.55 | $239.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $213.80 Typical High $302.00 | Professional | None (both parts) | $33.11 | $213.80 | $302.00 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $288.40 Typical High $302.00 | Facility | None | $223.87 | $288.40 | $302.00 |
Providence Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $436.52 | Professional | None (both parts) | $223.87 | $302.00 | $436.52 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $107.15 | Professional | 26 · Professional part | $58.88 | $87.10 | $107.15 |
Providence Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $239.88 | Professional | TC · Technical part | $147.91 | $190.55 | $239.88 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,398.83 | Facility | None | $1,071.52 | $1,071.52 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $323.59 Typical High $457.09 | Professional | None (both parts) | $213.80 | $323.59 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $93.33 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $229.09 Typical High $316.23 | Professional | TC · Technical part | $151.36 | $229.09 | $316.23 |
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 $91.20 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $91.20 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $36.31 | $60.26 | $60.26 |
Where New Mexico sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 35th of 51
$257
AK $562UT $158
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.