How much rates vary
Facilitymedian $692 · 10th to 90th $224 to $1,259Professionalmedian $275 · 10th to 90th $33 to $468
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 $199.53 Median $275.42 Typical High $407.38 | Facility | None | $199.53 | $275.42 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $199.53 | $275.42 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $45.71 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $229.09 Typical High $346.74 | Professional | TC · Technical part | $165.96 | $229.09 | $346.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $263.03 | Professional | None (both parts) | $204.17 | $204.17 | $263.03 |
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 $162.18 Typical High $245.47 | Professional | None (both parts) | $26.92 | $162.18 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $363.08 Typical High $501.19 | Professional | None (both parts) | $239.88 | $363.08 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $30.90 | $39.81 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $316.23 Typical High $446.68 | Professional | TC · Technical part | $218.78 | $316.23 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $33.11 | $275.42 | $323.59 |
Providence Setting Facility Modifier None Typical Low $190.55 Median $380.19 Typical High $426.58 | Facility | None | $190.55 | $380.19 | $426.58 |
Providence Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $512.86 | Professional | None (both parts) | $263.03 | $371.54 | $512.86 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $39.81 | $54.95 |
Providence Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $316.23 Typical High $446.68 | Professional | TC · Technical part | $218.78 | $316.23 | $446.68 |
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 $257.04 Median $398.11 Typical High $562.34 | Professional | None (both parts) | $257.04 | $398.11 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $48.98 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $338.84 Typical High $489.78 | Professional | TC · Technical part | $218.78 | $338.84 | $489.78 |
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 $97.72 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $97.72 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $39.81 | $54.95 | $54.95 |
Where New Mexico sits
The same service costs 3.2 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· 30th of 51
$275
AK $603UT $191
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.