How much rates vary
Facilitymedian $479 · 10th to 90th $115 to $776Professionalmedian $102 · 10th to 90th $47 to $174
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $93.33 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $66.07 | Professional | 26 · Professional part | $45.71 | $58.88 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $70.79 Typical High $97.72 | Professional | TC · Technical part | $51.29 | $70.79 | $97.72 |
BCBS New Mexico Setting Facility Modifier None Typical Low $141.25 Median $489.78 Typical High $776.25 | Facility | None | $141.25 | $489.78 | $776.25 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $35.48 Median $77.62 Typical High $128.82 | Professional | None (both parts) | $35.48 | $77.62 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $186.21 | Professional | None (both parts) | $100.00 | $123.03 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $91.20 | Professional | 26 · Professional part | $48.98 | $64.57 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $66.07 Typical High $97.72 | Professional | TC · Technical part | $44.67 | $66.07 | $97.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $83.18 Typical High $154.88 | Professional | None (both parts) | $33.11 | $83.18 | $154.88 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $114.82 Typical High $117.49 | Facility | None | $95.50 | $114.82 | $117.49 |
Providence Setting Professional Modifier None (both parts) Typical Low $100.00 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $100.00 | $134.90 | $190.55 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $54.95 | $67.61 | $91.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $67.61 Typical High $97.72 | Professional | TC · Technical part | $44.67 | $67.61 | $97.72 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $575.44 | Facility | None | $263.03 | $263.03 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $97.72 | $151.36 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $48.98 | $72.44 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $38.90 | $74.13 | $138.04 |
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 $46.77 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $46.77 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $18.62 | $25.70 | $25.70 |
Where New Mexico sits
The same service costs 3.9 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· 46th of 51
$105
AK $282TX $72.44
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.