How much rates vary
Facilitymedian $708 · 10th to 90th $63 to $1,318Professionalmedian $68 · 10th to 90th $19 to $110
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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $72.44 Typical High $95.50 | Professional | None (both parts) | $51.29 | $72.44 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.89 Typical High $22.39 | Professional | 26 · Professional part | $14.45 | $20.89 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $51.29 Typical High $70.79 | Professional | TC · Technical part | $37.15 | $51.29 | $70.79 |
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 $13.80 Median $45.71 Typical High $70.79 | Professional | None (both parts) | $13.80 | $45.71 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $79.43 Typical High $109.65 | Professional | None (both parts) | $56.23 | $79.43 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $31.62 | Professional | 26 · Professional part | $18.62 | $22.91 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $53.70 Typical High $83.18 | Professional | TC · Technical part | $38.02 | $53.70 | $83.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $81.28 Typical High $109.65 | Professional | None (both parts) | $27.54 | $81.28 | $109.65 |
Providence Setting Facility Modifier None Typical Low $42.66 Median $63.10 Typical High $69.18 | Facility | None | $42.66 | $63.10 | $69.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $56.23 Median $79.43 Typical High $109.65 | Professional | None (both parts) | $56.23 | $79.43 | $109.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.39 Typical High $31.62 | Professional | 26 · Professional part | $18.62 | $22.39 | $31.62 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $53.70 Typical High $83.18 | Professional | TC · Technical part | $38.02 | $53.70 | $83.18 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $562.34 | Facility | None | $251.19 | $251.19 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $91.20 Typical High $128.82 | Professional | None (both parts) | $63.10 | $91.20 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.30 Typical High $34.67 | Professional | 26 · Professional part | $19.50 | $26.30 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $66.07 Typical High $93.33 | Professional | TC · Technical part | $39.81 | $66.07 | $93.33 |
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 $25.70 Median $35.48 Typical High $39.81 | Professional | 52 · Reduced service | $25.70 | $35.48 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $14.45 Typical High $15.85 | Professional | 53 · Discontinued | $10.23 | $14.45 | $15.85 |
Where New Mexico sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 41st of 51
$69.18
ND $186KY $53.70
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.