How much rates vary
Facilitymedian $417 · 10th to 90th $120 to $646Professionalmedian $112 · 10th to 90th $74 to $224
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $134.90 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $104.71 | Professional | 26 · Professional part | $66.07 | $95.50 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $120.23 | Professional | TC · Technical part | $67.61 | $93.33 | $120.23 |
BCBS New Mexico Setting Facility Modifier None Typical Low $120.23 Median $436.52 Typical High $660.69 | Facility | None | $120.23 | $436.52 | $660.69 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $57.54 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $57.54 | $109.65 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $147.91 | $177.83 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $104.71 Typical High $147.91 | Professional | 26 · Professional part | $77.62 | $104.71 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $83.18 Typical High $128.82 | Professional | TC · Technical part | $56.23 | $83.18 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $114.82 Typical High $218.78 | Professional | None (both parts) | $33.11 | $114.82 | $218.78 |
Providence Setting Facility Modifier None Typical Low $120.23 Median $151.36 Typical High $162.18 | Facility | None | $120.23 | $151.36 | $162.18 |
Providence Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $147.91 | $194.98 | $269.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $109.65 Typical High $147.91 | Professional | 26 · Professional part | $87.10 | $109.65 | $147.91 |
Providence Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $89.13 Typical High $128.82 | Professional | TC · Technical part | $56.23 | $89.13 | $128.82 |
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 $138.04 Median $218.78 Typical High $354.81 | Professional | None (both parts) | $138.04 | $218.78 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $77.62 | $114.82 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $95.50 Typical High $181.97 | Professional | TC · Technical part | $43.65 | $95.50 | $181.97 |
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 $67.61 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $67.61 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $26.92 | $38.02 | $38.02 |
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· 49th of 51
$115
AK $398TX $102
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.