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 $19.50 Median $34.67 Typical High $40.74 | Facility | None | $19.50 | $34.67 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $31.62 Typical High $47.86 | Professional | None (both parts) | $19.50 | $31.62 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $4.37 Typical High $5.75 | Professional | 26 · Professional part | $2.51 | $4.37 | $5.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $27.54 Typical High $41.69 | Professional | TC · Technical part | $16.98 | $27.54 | $41.69 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $2.14 Median $10.47 Typical High $23.44 | Professional | None (both parts) | $2.14 | $10.47 | $23.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $26.92 | $38.90 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $4.47 Typical High $6.17 | Professional | 26 · Professional part | $3.02 | $4.47 | $6.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $34.67 Typical High $48.98 | Professional | TC · Technical part | $23.99 | $34.67 | $48.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.37 Median $26.92 Typical High $33.11 | Professional | None (both parts) | $4.37 | $26.92 | $33.11 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $120.23 Typical High $125.89 | Facility | None | $107.15 | $120.23 | $125.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $26.92 Median $40.74 Typical High $54.95 | Professional | None (both parts) | $26.92 | $40.74 | $54.95 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $4.47 Typical High $6.17 | Professional | 26 · Professional part | $2.95 | $4.47 | $6.17 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $34.67 Typical High $46.77 | Professional | TC · Technical part | $23.99 | $34.67 | $46.77 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $43.65 Typical High $112.20 | Professional | None (both parts) | $25.12 | $43.65 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.31 Median $5.01 Typical High $6.92 | Professional | 26 · Professional part | $3.31 | $5.01 | $6.92 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $37.15 Typical High $100.00 | Professional | TC · Technical part | $21.88 | $37.15 | $100.00 |
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 $9.77 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $9.77 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $3.89 | $6.31 | $6.31 |
Where New Mexico sits
The same service costs 2.9 times more in Kansas than in Maryland. 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· 47th of 51
$26.92
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.