How much rates vary
Facilitymedian $3,890 · 10th to 90th $692 to $6,310Professionalmedian $468 · 10th to 90th $132 to $646
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 $263.03 Median $2,089.30 Typical High $8,912.51 | Facility | None | $263.03 | $2,089.30 | $8,912.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $263.03 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $199.53 | $363.08 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $66.07 | $107.15 | $107.15 |
BCBS New Mexico Setting Facility Modifier None Typical Low $1,096.48 Median $3,890.45 Typical High $6,025.60 | Facility | None | $1,096.48 | $3,890.45 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $371.54 | $478.63 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $295.12 Typical High $416.87 | Professional | 26 · Professional part | $251.19 | $295.12 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $186.21 Typical High $263.03 | Professional | TC · Technical part | $93.33 | $186.21 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $354.81 Typical High $467.74 | Professional | None (both parts) | $33.11 | $354.81 | $467.74 |
Providence Setting Facility Modifier None Typical Low $575.44 Median $691.83 Typical High $707.95 | Facility | None | $575.44 | $691.83 | $707.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $371.54 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $371.54 | $478.63 | $660.69 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $295.12 Typical High $416.87 | Professional | 26 · Professional part | $251.19 | $295.12 | $416.87 |
Providence Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $186.21 Typical High $263.03 | Professional | TC · Technical part | $93.33 | $186.21 | $263.03 |
United Setting Facility Modifier None Typical Low $562.34 Median $4,570.88 Typical High $15,488.17 | Facility | None | $562.34 | $4,570.88 | $15,488.17 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $537.03 Typical High $758.58 | Professional | None (both parts) | $371.54 | $537.03 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $371.54 Typical High $457.09 | Professional | 26 · Professional part | $263.03 | $371.54 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $144.54 Typical High $323.59 | Professional | TC · Technical part | $91.20 | $144.54 | $323.59 |
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 $131.83 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $131.83 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $52.48 | $95.50 | $95.50 |
Where New Mexico sits
The same service costs 3.4 times more in Wisconsin 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· 21st of 51
$479
WI $813UT $240
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.