How much rates vary
Facilitymedian $309 · 10th to 90th $91 to $550Professionalmedian $87 · 10th to 90th $11 to $162
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 $66.07 Median $100.00 Typical High $144.54 | Facility | None | $66.07 | $100.00 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $91.20 Typical High $147.91 | Professional | None (both parts) | $66.07 | $91.20 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.79 Typical High $18.20 | Professional | 26 · Professional part | $9.55 | $14.79 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $56.23 | $77.62 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $91.20 | Professional | None (both parts) | $70.79 | $70.79 | $91.20 |
BCBS New Mexico Setting Facility Modifier None Typical Low $100.00 Median $354.81 Typical High $549.54 | Facility | None | $100.00 | $354.81 | $549.54 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $8.51 Median $56.23 Typical High $89.13 | Professional | None (both parts) | $8.51 | $56.23 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $83.18 | $123.03 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.85 Typical High $20.42 | Professional | 26 · Professional part | $10.96 | $15.85 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $151.36 | Professional | TC · Technical part | $74.13 | $107.15 | $151.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.98 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $16.98 | $95.50 | $112.20 |
Providence Setting Facility Modifier None Typical Low $64.57 Median $151.36 Typical High $169.82 | Facility | None | $64.57 | $151.36 | $169.82 |
Providence Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $89.13 | $125.89 | $177.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $16.22 Typical High $20.42 | Professional | 26 · Professional part | $10.96 | $16.22 | $20.42 |
Providence Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $147.91 | Professional | TC · Technical part | $74.13 | $107.15 | $147.91 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $575.44 | Facility | None | $263.03 | $263.03 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $144.54 Typical High $199.53 | Professional | None (both parts) | $87.10 | $144.54 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.78 Typical High $25.12 | Professional | 26 · Professional part | $12.30 | $17.78 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $123.03 Typical High $177.83 | Professional | TC · Technical part | $74.13 | $123.03 | $177.83 |
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 $33.11 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $33.11 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $13.18 | $18.62 | $18.62 |
Where New Mexico sits
The same service costs 3.3 times more in Alaska 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· 43rd of 51
$91.20
AK $209UT $63.10
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.