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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $44.67 Typical High $56.23 | Professional | None (both parts) | $31.62 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.45 Typical High $14.79 | Professional | 26 · Professional part | $10.00 | $14.45 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.20 Typical High $39.81 | Professional | TC · Technical part | $21.88 | $30.20 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $8.71 Median $30.20 Typical High $39.81 | Professional | None (both parts) | $8.71 | $30.20 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $66.07 | Professional | None (both parts) | $40.74 | $48.98 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.45 Typical High $19.95 | Professional | 26 · Professional part | $12.02 | $14.45 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $45.71 | Professional | TC · Technical part | $28.18 | $35.48 | $45.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.38 Median $43.65 Typical High $60.26 | Professional | None (both parts) | $17.38 | $43.65 | $60.26 |
Providence Setting Professional Modifier None (both parts) Typical Low $40.74 Median $50.12 Typical High $66.07 | Professional | None (both parts) | $40.74 | $50.12 | $66.07 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.45 Typical High $19.95 | Professional | 26 · Professional part | $12.02 | $14.45 | $19.95 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $45.71 | Professional | TC · Technical part | $28.18 | $35.48 | $45.71 |
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 $43.65 Median $58.88 Typical High $79.43 | Professional | None (both parts) | $43.65 | $58.88 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.20 Typical High $23.44 | Professional | 26 · Professional part | $12.88 | $18.20 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $41.69 Typical High $54.95 | Professional | TC · Technical part | $30.90 | $41.69 | $54.95 |
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 $15.85 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $15.85 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $6.31 | $8.91 | $8.91 |
Where New Mexico sits
The same service costs 2.9 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· 36th of 51
$43.65
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.