How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,148 to $6,310Professionalmedian $1,072 · 10th to 90th $115 to $1,698
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 $588.84 Median $1,230.27 Typical High $3,801.89 | Facility | None | $588.84 | $1,230.27 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,230.27 Typical High $1,380.38 | Professional | None (both parts) | $741.31 | $1,230.27 | $1,380.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $95.50 | $173.78 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $1,071.52 Typical High $1,230.27 | Professional | TC · Technical part | $645.65 | $1,071.52 | $1,230.27 |
BCBS New Mexico Setting Facility Modifier None Typical Low $1,148.15 Median $4,073.80 Typical High $6,309.57 | Facility | None | $1,148.15 | $4,073.80 | $6,309.57 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $87.10 Median $660.69 Typical High $1,148.15 | Professional | None (both parts) | $87.10 | $660.69 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,288.25 Typical High $1,862.09 | Professional | None (both parts) | $1,000.00 | $1,288.25 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $158.49 Typical High $239.88 | Professional | 26 · Professional part | $125.89 | $158.49 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,122.02 Typical High $1,584.89 | Professional | TC · Technical part | $870.96 | $1,122.02 | $1,584.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $1,148.15 Typical High $1,318.26 | Professional | None (both parts) | $33.11 | $1,148.15 | $1,318.26 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,318.26 Typical High $1,862.09 | Professional | None (both parts) | $1,023.29 | $1,318.26 | $1,862.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $169.82 Typical High $229.09 | Professional | 26 · Professional part | $134.90 | $169.82 | $229.09 |
Providence Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,122.02 Typical High $1,513.56 | Professional | TC · Technical part | $870.96 | $1,122.02 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $3,715.35 | Facility | None | $1,698.24 | $1,698.24 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,479.11 Typical High $2,187.76 | Professional | None (both parts) | $1,023.29 | $1,479.11 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $186.21 Typical High $269.15 | Professional | 26 · Professional part | $131.83 | $186.21 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,258.93 Typical High $1,905.46 | Professional | TC · Technical part | $870.96 | $1,258.93 | $1,905.46 |
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 $371.54 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $371.54 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $147.91 | $245.47 | $245.47 |
Where New Mexico sits
The same service costs 2.9 times more in Alaska 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· 26th of 51
$1,122
AK $2,138TX $741
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.