How much rates vary
Facilitymedian $490 · 10th to 90th $145 to $776Professionalmedian $148 · 10th to 90th $17 to $288
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 $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $104.71 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $15.14 | $28.84 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $131.83 | Professional | TC · Technical part | $87.10 | $120.23 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $109.65 | $117.49 | $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 $13.80 Median $100.00 Typical High $131.83 | Professional | None (both parts) | $13.80 | $100.00 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $158.49 | $229.09 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $34.67 | Professional | 26 · Professional part | $14.79 | $19.05 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $213.80 Typical High $302.00 | Professional | TC · Technical part | $138.04 | $213.80 | $302.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $33.11 | $165.96 | $199.53 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $229.09 Typical High $263.03 | Facility | None | $117.49 | $229.09 | $263.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $158.49 | $229.09 | $323.59 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $34.67 | Professional | 26 · Professional part | $14.79 | $19.05 | $34.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $213.80 Typical High $302.00 | Professional | TC · Technical part | $141.25 | $213.80 | $302.00 |
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 $158.49 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $158.49 | $239.88 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $17.38 | $28.18 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $213.80 Typical High $323.59 | Professional | TC · Technical part | $131.83 | $213.80 | $323.59 |
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 $21.38 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $21.38 | $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· 38th of 51
$148
AK $363UT $97.72
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.