How much rates vary
Facilitymedian $692 · 10th to 90th $234 to $1,259Professionalmedian $263 · 10th to 90th $51 to $550
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 $218.78 Median $331.13 Typical High $562.34 | Facility | None | $218.78 | $331.13 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $302.00 Typical High $489.78 | Professional | None (both parts) | $218.78 | $302.00 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $66.07 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $234.42 Typical High $398.11 | Professional | TC · Technical part | $173.78 | $234.42 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
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 $38.90 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $38.90 | $181.97 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $416.87 Typical High $602.56 | Professional | None (both parts) | $288.40 | $416.87 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $102.33 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $316.23 Typical High $457.09 | Professional | TC · Technical part | $218.78 | $316.23 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $281.84 Typical High $363.08 | Professional | None (both parts) | $33.11 | $281.84 | $363.08 |
Providence Setting Facility Modifier None Typical Low $199.53 Median $489.78 Typical High $524.81 | Facility | None | $199.53 | $489.78 | $524.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $288.40 Median $436.52 Typical High $616.60 | Professional | None (both parts) | $288.40 | $436.52 | $616.60 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $102.33 | $147.91 |
Providence Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $316.23 Typical High $457.09 | Professional | TC · Technical part | $218.78 | $316.23 | $457.09 |
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 $281.84 Median $457.09 Typical High $660.69 | Professional | None (both parts) | $281.84 | $457.09 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $58.88 | $97.72 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $354.81 Typical High $501.19 | Professional | TC · Technical part | $223.87 | $354.81 | $501.19 |
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 $109.65 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $109.65 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $43.65 | $60.26 | $60.26 |
Where New Mexico sits
The same service costs 3.3 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· 42nd of 51
$282
MN $676UT $204
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.