How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $54.95 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $18.62 | $26.30 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $37.15 | $51.29 | $51.29 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $15.14 Median $44.67 Typical High $61.66 | Professional | None (both parts) | $15.14 | $44.67 | $61.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $83.18 Typical High $114.82 | Professional | None (both parts) | $69.18 | $83.18 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $38.02 | Professional | 26 · Professional part | $22.91 | $27.54 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $56.23 Typical High $77.62 | Professional | TC · Technical part | $46.77 | $56.23 | $77.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $38.02 | Professional | None (both parts) | $33.11 | $33.11 | $38.02 |
Providence Setting Professional Modifier None (both parts) Typical Low $69.18 Median $83.18 Typical High $117.49 | Professional | None (both parts) | $69.18 | $83.18 | $117.49 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $38.02 | Professional | 26 · Professional part | $22.91 | $27.54 | $38.02 |
Providence Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $56.23 Typical High $75.86 | Professional | TC · Technical part | $46.77 | $56.23 | $75.86 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $257.04 | Facility | None | $114.82 | $114.82 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $141.25 | Professional | None (both parts) | $75.86 | $107.15 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $33.88 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $97.72 | Professional | TC · Technical part | $52.48 | $74.13 | $97.72 |
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 $27.54 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $27.54 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $10.96 | $15.49 | $15.49 |
Where New Mexico sits
The same service costs 4.9 times more in Nebraska 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· 28th of 51
$79.43
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.