How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $141.25 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $125.89 Typical High $138.04 | Professional | 26 · Professional part | $72.44 | $125.89 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $69.18 | $117.49 | $117.49 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $81.28 Median $173.78 Typical High $446.68 | Professional | None (both parts) | $81.28 | $173.78 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $181.97 | $245.47 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $125.89 Typical High $158.49 | Professional | 26 · Professional part | $87.10 | $125.89 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $91.20 | $117.49 | $147.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $33.11 | $125.89 | $125.89 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $257.04 | Facility | None | $251.19 | $251.19 | $257.04 |
Providence Setting Professional Modifier None (both parts) Typical Low $186.21 Median $251.19 Typical High $2,238,721.14 | Professional | None (both parts) | $186.21 | $251.19 | $2,238,721.14 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $125.89 | $154.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $91.20 | $117.49 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $245.47 | $371.54 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $131.83 Typical High $181.97 | Professional | 26 · Professional part | $91.20 | $131.83 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $239.88 Typical High $331.13 | Professional | TC · Technical part | $158.49 | $239.88 | $331.13 |
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 $70.79 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $70.79 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $28.18 | $48.98 | $48.98 |
Where New Mexico sits
The same service costs 3.1 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· 36th of 51
$245
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.