How much rates vary
Facilitymedian $457 · 10th to 90th $141 to $776Professionalmedian $155 · 10th to 90th $22 to $295
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 $125.89 Typical High $239.88 | Facility | None | $104.71 | $125.89 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $147.91 Typical High $213.80 | Professional | None (both parts) | $104.71 | $147.91 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $27.54 Typical High $34.67 | Professional | 26 · Professional part | $18.62 | $27.54 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $120.23 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
BCBS New Mexico Setting Facility Modifier None Typical Low $144.54 Median $524.81 Typical High $812.83 | Facility | None | $144.54 | $524.81 | $812.83 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $16.60 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $16.60 | $97.72 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $158.49 | $223.87 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $36.31 | Professional | 26 · Professional part | $19.95 | $26.92 | $36.31 |
Cigna 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 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $162.18 Typical High $194.98 | Professional | None (both parts) | $33.11 | $162.18 | $194.98 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $239.88 Typical High $269.15 | Facility | None | $112.20 | $239.88 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $158.49 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $158.49 | $234.42 | $331.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $36.31 | Professional | 26 · Professional part | $19.95 | $27.54 | $36.31 |
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 $204.17 Median $204.17 Typical High $457.09 | Facility | None | $204.17 | $204.17 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $151.36 | $239.88 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $21.38 | $31.62 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $128.82 | $204.17 | $295.12 |
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 $52.48 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $52.48 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $20.89 | $29.51 | $29.51 |
Where New Mexico sits
The same service costs 3.7 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· 33rd of 51
$158
AK $355UT $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.