How much rates vary
Facilitymedian $562 · 10th to 90th $158 to $891Professionalmedian $145 · 10th to 90th $21 to $257
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $104.71 | $144.54 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $26.92 Typical High $34.67 | Professional | 26 · Professional part | $17.38 | $26.92 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $87.10 | $117.49 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
BCBS New Mexico Setting Facility Modifier None Typical Low $162.18 Median $588.84 Typical High $891.25 | Facility | None | $162.18 | $588.84 | $891.25 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $15.85 Median $89.13 Typical High $147.91 | Professional | None (both parts) | $15.85 | $89.13 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $128.82 | $194.98 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $38.02 | Professional | 26 · Professional part | $19.95 | $28.84 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $162.18 Typical High $229.09 | Professional | TC · Technical part | $112.20 | $162.18 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $147.91 Typical High $177.83 | Professional | None (both parts) | $31.62 | $147.91 | $177.83 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $234.42 Typical High $257.04 | Facility | None | $100.00 | $234.42 | $257.04 |
Providence Setting Professional Modifier None (both parts) Typical Low $141.25 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $141.25 | $194.98 | $275.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $29.51 Typical High $38.02 | Professional | 26 · Professional part | $19.50 | $29.51 | $38.02 |
Providence Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $162.18 Typical High $223.87 | Professional | TC · Technical part | $112.20 | $162.18 | $223.87 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $933.25 | Facility | None | $426.58 | $426.58 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $134.90 | $218.78 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $31.62 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $186.21 Typical High $269.15 | Professional | TC · Technical part | $112.20 | $186.21 | $269.15 |
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 $51.29 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $51.29 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $20.89 | $28.84 | $28.84 |
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· 42nd of 51
$145
AK $316UT $95.50
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.