How much rates vary
Facilitymedian $229 · 10th to 90th $63 to $355Professionalmedian $85 · 10th to 90th $34 to $141
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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $97.72 Typical High $120.23 | Professional | None (both parts) | $70.79 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $43.65 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $53.70 Typical High $72.44 | Professional | TC · Technical part | $39.81 | $53.70 | $72.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
BCBS New Mexico Setting Facility Modifier None Typical Low $63.10 Median $229.09 Typical High $354.81 | Facility | None | $63.10 | $229.09 | $354.81 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $25.70 Median $57.54 Typical High $95.50 | Professional | None (both parts) | $25.70 | $57.54 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $104.71 Typical High $141.25 | Professional | None (both parts) | $77.62 | $104.71 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $46.77 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $42.66 | $53.70 | $75.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $63.10 Typical High $114.82 | Professional | None (both parts) | $33.11 | $63.10 | $114.82 |
Providence Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $141.25 | Professional | None (both parts) | $87.10 | $107.15 | $141.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $39.81 | $51.29 | $66.07 |
Providence Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $72.44 | Professional | TC · Technical part | $44.67 | $57.54 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $81.28 | $117.49 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $54.95 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $95.50 | Professional | TC · Technical part | $44.67 | $64.57 | $95.50 |
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 $34.67 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $34.67 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $14.13 | $19.50 | $19.50 |
Where New Mexico sits
The same service costs 3.0 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· 37th of 51
$87.10
AK $204TX $67.61
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.