How much rates vary
Facilitymedian $676 · 10th to 90th $219 to $1,259Professionalmedian $204 · 10th to 90th $33 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 $154.88 Median $234.42 Typical High $478.63 | Facility | None | $154.88 | $234.42 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $165.96 | $218.78 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $30.90 | $46.77 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $257.04 | Professional | TC · Technical part | $131.83 | $169.82 | $257.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | None (both parts) | $177.83 | $177.83 | $208.93 |
BCBS New Mexico Setting Facility Modifier None Typical Low $234.42 Median $831.76 Typical High $1,288.25 | Facility | None | $234.42 | $831.76 | $1,288.25 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $26.92 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $26.92 | $128.82 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $389.05 | Professional | None (both parts) | $190.55 | $288.40 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $31.62 | $41.69 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $346.74 | Professional | TC · Technical part | $165.96 | $239.88 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $204.17 Typical High $257.04 | Professional | None (both parts) | $33.11 | $204.17 | $257.04 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $316.23 Typical High $346.74 | Facility | None | $144.54 | $316.23 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $208.93 Median $295.12 Typical High $407.38 | Professional | None (both parts) | $208.93 | $295.12 | $407.38 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $41.69 | $54.95 |
Providence Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $346.74 | Professional | TC · Technical part | $165.96 | $239.88 | $346.74 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,047.13 | Facility | None | $467.74 | $467.74 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $204.17 | $316.23 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $35.48 | $50.12 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $263.03 Typical High $380.19 | Professional | TC · Technical part | $162.18 | $263.03 | $380.19 |
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 $77.62 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $77.62 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $30.90 | $43.65 | $43.65 |
Where New Mexico sits
The same service costs 3.2 times more in Minnesota 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· 34th of 51
$219
MN $501UT $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.