How much rates vary
Facilitymedian $457 · 10th to 90th $135 to $776Professionalmedian $132 · 10th to 90th $20 to $240
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 $97.72 Median $147.91 Typical High $562.34 | Facility | None | $97.72 | $147.91 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $97.72 | $134.90 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.70 Typical High $36.31 | Professional | 26 · Professional part | $17.38 | $25.70 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $109.65 Typical High $186.21 | Professional | TC · Technical part | $79.43 | $109.65 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $117.49 | Professional | None (both parts) | $109.65 | $109.65 | $117.49 |
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 $15.14 Median $81.28 Typical High $120.23 | Professional | None (both parts) | $15.14 | $81.28 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $128.82 | $186.21 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.18 Typical High $38.02 | Professional | 26 · Professional part | $19.50 | $28.18 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $112.20 | $158.49 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $131.83 Typical High $162.18 | Professional | None (both parts) | $30.20 | $131.83 | $162.18 |
Providence Setting Facility Modifier None Typical Low $91.20 Median $208.93 Typical High $234.42 | Facility | None | $91.20 | $208.93 | $234.42 |
Providence Setting Professional Modifier None (both parts) Typical Low $128.82 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $128.82 | $194.98 | $275.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $29.51 Typical High $37.15 | Professional | 26 · Professional part | $18.20 | $29.51 | $37.15 |
Providence Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $112.20 | $158.49 | $223.87 |
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 $123.03 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $123.03 | $194.98 | $288.40 |
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 $102.33 Median $162.18 Typical High $239.88 | Professional | TC · Technical part | $102.33 | $162.18 | $239.88 |
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 $48.98 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $48.98 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $19.50 | $26.92 | $26.92 |
Where New Mexico sits
The same service costs 4.0 times more in Minnesota 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· 39th of 51
$132
MN $380UT $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.