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 $457.09 Median $2,089.30 Typical High $8,912.51 | Facility | None | $457.09 | $2,089.30 | $8,912.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $457.09 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $446.68 Typical High $446.68 | Professional | 26 · Professional part | $239.88 | $446.68 | $446.68 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $213.80 | $363.08 | $363.08 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $218.78 Median $457.09 Typical High $776.25 | Professional | None (both parts) | $218.78 | $457.09 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $724.44 Typical High $1,023.29 | Professional | None (both parts) | $630.96 | $724.44 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $389.05 Typical High $549.54 | Professional | 26 · Professional part | $338.84 | $389.05 | $549.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $281.84 | $331.13 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $436.52 Typical High $707.95 | Professional | None (both parts) | $33.11 | $436.52 | $707.95 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $870.96 | Facility | None | $630.96 | $794.33 | $870.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $630.96 Median $724.44 Typical High $1,023.29 | Professional | None (both parts) | $630.96 | $724.44 | $1,023.29 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $389.05 Typical High $549.54 | Professional | 26 · Professional part | $338.84 | $389.05 | $549.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $288.40 | $331.13 | $467.74 |
United Setting Facility Modifier None Typical Low $229.09 Median $1,096.48 Typical High $15,488.17 | Facility | None | $229.09 | $1,096.48 | $15,488.17 |
United Setting Professional Modifier None (both parts) Typical Low $616.60 Median $870.96 Typical High $1,122.02 | Professional | None (both parts) | $616.60 | $870.96 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $446.68 Typical High $588.84 | Professional | 26 · Professional part | $302.00 | $446.68 | $588.84 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $426.58 Typical High $549.54 | Professional | TC · Technical part | $309.03 | $426.58 | $549.54 |
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 $229.09 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $229.09 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $91.20 | $162.18 | $162.18 |
Where New Mexico sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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· 24th of 51
$724
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.