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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $117.49 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $79.43 | Professional | 26 · Professional part | $50.12 | $72.44 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $112.20 | Professional | TC · Technical part | $66.07 | $91.20 | $112.20 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $43.65 Median $91.20 Typical High $154.88 | Professional | None (both parts) | $43.65 | $91.20 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $120.23 | $151.36 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $58.88 | $79.43 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $77.62 Typical High $112.20 | Professional | TC · Technical part | $52.48 | $77.62 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $33.11 | $104.71 | $190.55 |
Providence Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $134.90 | Facility | None | $97.72 | $123.03 | $134.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $120.23 | $162.18 | $229.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $67.61 | $83.18 | $109.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $85.11 Typical High $112.20 | Professional | TC · Technical part | $52.48 | $85.11 | $112.20 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $933.25 | Facility | None | $426.58 | $426.58 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $181.97 Typical High $295.12 | Professional | None (both parts) | $112.20 | $181.97 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $58.88 | $89.13 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $42.66 | $87.10 | $162.18 |
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 $58.88 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $58.88 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $23.44 | $32.36 | $32.36 |
Where New Mexico sits
The same service costs 4.6 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· 43rd of 51
$126
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.