How much rates vary
Facilitymedian $3,890 · 10th to 90th $813 to $6,166Professionalmedian $617 · 10th to 90th $78 to $1,072
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 $512.86 Median $588.84 Typical High $3,801.89 | Facility | None | $512.86 | $588.84 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $524.81 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $123.03 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $758.58 Typical High $776.25 | Professional | TC · Technical part | $457.09 | $758.58 | $776.25 |
BCBS New Mexico Setting Facility Modifier None Typical Low $1,148.15 Median $4,168.69 Typical High $6,309.57 | Facility | None | $1,148.15 | $4,168.69 | $6,309.57 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $58.88 Median $346.74 Typical High $602.56 | Professional | None (both parts) | $58.88 | $346.74 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $707.95 Typical High $1,202.26 | Professional | None (both parts) | $562.34 | $707.95 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $162.18 | Professional | 26 · Professional part | $89.13 | $109.65 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $616.60 Typical High $1,023.29 | Professional | TC · Technical part | $478.63 | $616.60 | $1,023.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $575.44 Typical High $691.83 | Professional | None (both parts) | $33.11 | $575.44 | $691.83 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $812.83 Typical High $891.25 | Facility | None | $602.56 | $812.83 | $891.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $562.34 Median $707.95 Typical High $1,202.26 | Professional | None (both parts) | $562.34 | $707.95 | $1,202.26 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $89.13 | $117.49 | $154.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $616.60 Typical High $954.99 | Professional | TC · Technical part | $478.63 | $616.60 | $954.99 |
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 $630.96 Median $933.25 Typical High $1,348.96 | Professional | None (both parts) | $630.96 | $933.25 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $138.04 Typical High $218.78 | Professional | 26 · Professional part | $89.13 | $138.04 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $794.33 Typical High $1,174.90 | Professional | TC · Technical part | $501.19 | $794.33 | $1,174.90 |
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 $263.03 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $263.03 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $104.71 | $173.78 | $173.78 |
Where New Mexico sits
The same service costs 3.3 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· 33rd of 51
$661
AK $1,288TX $389
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.