How much rates vary
Facilitymedian $457 · 10th to 90th $141 to $776Professionalmedian $141 · 10th to 90th $22 to $251
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 $102.33 Median $141.25 Typical High $208.93 | Facility | None | $102.33 | $141.25 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $102.33 | $141.25 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $28.84 Typical High $35.48 | Professional | 26 · Professional part | $17.78 | $28.84 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $81.28 | $112.20 | $165.96 |
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 $85.11 Typical High $141.25 | Professional | None (both parts) | $16.60 | $85.11 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $125.89 | $190.55 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.39 Typical High $33.88 | Professional | 26 · Professional part | $16.98 | $22.39 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $234.42 | Professional | TC · Technical part | $114.82 | $165.96 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $33.11 | $134.90 | $169.82 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $199.53 Typical High $223.87 | Facility | None | $95.50 | $199.53 | $223.87 |
Providence Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $134.90 | $190.55 | $269.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $33.88 | Professional | 26 · Professional part | $16.98 | $21.88 | $33.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $234.42 | Professional | TC · Technical part | $114.82 | $165.96 | $234.42 |
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 $131.83 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $131.83 | $204.17 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $27.54 Typical High $45.71 | Professional | 26 · Professional part | $19.05 | $27.54 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $173.78 Typical High $251.19 | Professional | TC · Technical part | $107.15 | $173.78 | $251.19 |
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 $50.12 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $50.12 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $20.42 | $28.18 | $28.18 |
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· 37th of 51
$141
AK $302UT $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.