How much rates vary
Facilitymedian $708 · 10th to 90th $43 to $1,288Professionalmedian $30 · 10th to 90th $8 to $51
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 $21.38 Median $30.20 Typical High $52.48 | Facility | None | $21.38 | $30.20 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.20 Typical High $41.69 | Professional | None (both parts) | $23.99 | $30.20 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.77 Typical High $10.47 | Professional | 26 · Professional part | $7.08 | $9.77 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $20.42 Typical High $29.51 | Professional | TC · Technical part | $15.49 | $20.42 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.18 Typical High $44.67 | Professional | None (both parts) | $23.99 | $28.18 | $44.67 |
BCBS New Mexico Setting Facility Modifier None Typical Low $239.88 Median $831.76 Typical High $1,318.26 | Facility | None | $239.88 | $831.76 | $1,318.26 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $5.75 Median $18.62 Typical High $29.51 | Professional | None (both parts) | $5.75 | $18.62 | $29.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.90 Typical High $56.23 | Professional | None (both parts) | $30.20 | $38.90 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $8.32 | $10.00 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $40.74 | Professional | TC · Technical part | $20.89 | $29.51 | $40.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.48 Median $25.70 Typical High $38.02 | Professional | None (both parts) | $11.48 | $25.70 | $38.02 |
Providence Setting Facility Modifier None Typical Low $33.11 Median $42.66 Typical High $46.77 | Facility | None | $33.11 | $42.66 | $46.77 |
Providence Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.90 Typical High $56.23 | Professional | None (both parts) | $30.90 | $38.90 | $56.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $8.32 | $10.00 | $13.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $40.74 | Professional | TC · Technical part | $20.89 | $29.51 | $40.74 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $933.25 | Facility | None | $426.58 | $426.58 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $48.98 Typical High $64.57 | Professional | None (both parts) | $32.36 | $48.98 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $15.14 | Professional | 26 · Professional part | $8.32 | $11.75 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $37.15 Typical High $48.98 | Professional | TC · Technical part | $23.99 | $37.15 | $48.98 |
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 $10.72 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $10.72 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $4.27 | $6.03 | $6.03 |
Where New Mexico sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 46th of 51
$29.51
MN $67.61TX $26.92
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.