How much rates vary
Facilitymedian $490 · 10th to 90th $72 to $794Professionalmedian $44 · 10th to 90th $10 to $87
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 $30.90 Median $43.65 Typical High $75.86 | Facility | None | $30.90 | $43.65 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $43.65 Typical High $63.10 | Professional | None (both parts) | $34.67 | $43.65 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.02 Typical High $15.14 | Professional | 26 · Professional part | $9.12 | $12.02 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $48.98 | Professional | TC · Technical part | $26.30 | $31.62 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $57.54 | Professional | None (both parts) | $35.48 | $41.69 | $57.54 |
BCBS New Mexico Setting Facility Modifier None Typical Low $144.54 Median $512.86 Typical High $794.33 | Facility | None | $144.54 | $512.86 | $794.33 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $7.24 Median $26.92 Typical High $51.29 | Professional | None (both parts) | $7.24 | $26.92 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $67.61 Typical High $93.33 | Professional | None (both parts) | $46.77 | $67.61 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.60 Typical High $22.91 | Professional | 26 · Professional part | $11.48 | $16.60 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $50.12 Typical High $70.79 | Professional | TC · Technical part | $34.67 | $50.12 | $70.79 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $38.90 Typical High $53.70 | Professional | None (both parts) | $14.45 | $38.90 | $53.70 |
Providence Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $79.43 | Facility | None | $56.23 | $72.44 | $79.43 |
Providence Setting Professional Modifier None (both parts) Typical Low $46.77 Median $67.61 Typical High $95.50 | Professional | None (both parts) | $46.77 | $67.61 | $95.50 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.60 Typical High $22.91 | Professional | 26 · Professional part | $11.75 | $16.60 | $22.91 |
Providence Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $50.12 Typical High $70.79 | Professional | TC · Technical part | $34.67 | $50.12 | $70.79 |
United Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $1,621.81 | Facility | None | $741.31 | $741.31 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $81.28 Typical High $107.15 | Professional | None (both parts) | $54.95 | $81.28 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $19.05 Typical High $25.70 | Professional | 26 · Professional part | $12.59 | $19.05 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $63.10 Typical High $83.18 | Professional | TC · Technical part | $41.69 | $63.10 | $83.18 |
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 $15.49 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $15.49 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $6.31 | $8.71 | $8.71 |
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· 45th of 51
$43.65
MN $105UT $31.62
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.