How much rates vary
Facilitymedian $562 · 10th to 90th $162 to $891Professionalmedian $182 · 10th to 90th $24 to $316
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $128.82 | $177.83 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $19.50 | $29.51 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $257.04 | Professional | TC · Technical part | $109.65 | $147.91 | $257.04 |
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 $16.98 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $16.98 | $109.65 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $162.18 | $239.88 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $21.88 | $32.36 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $141.25 | $204.17 | $295.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $33.11 | $181.97 | $218.78 |
Providence Setting Facility Modifier None Typical Low $125.89 Median $281.84 Typical High $316.23 | Facility | None | $125.89 | $281.84 | $316.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $173.78 | $245.47 | $346.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $21.38 | $32.36 | $41.69 |
Providence Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $288.40 | Professional | TC · Technical part | $141.25 | $204.17 | $288.40 |
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 $165.96 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $165.96 | $269.15 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $35.48 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $234.42 Typical High $331.13 | Professional | TC · Technical part | $141.25 | $234.42 | $331.13 |
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 $64.57 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $64.57 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $25.70 | $35.48 | $35.48 |
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· 40th of 51
$182
AK $417UT $126
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.