How much rates vary
Facilitymedian $219 · 10th to 90th $62 to $355Professionalmedian $112 · 10th to 90th $60 to $191
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 $131.83 Typical High $181.97 | Professional | None (both parts) | $93.33 | $131.83 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $77.62 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $38.90 | $53.70 | $75.86 |
BCBS New Mexico Setting Facility Modifier None Typical Low $61.66 Median $218.78 Typical High $338.84 | Facility | None | $61.66 | $218.78 | $338.84 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $46.77 Median $77.62 Typical High $134.90 | Professional | None (both parts) | $46.77 | $77.62 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $213.80 | Professional | None (both parts) | $112.20 | $144.54 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $120.23 | Professional | 26 · Professional part | $64.57 | $85.11 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $91.20 | Professional | TC · Technical part | $48.98 | $61.66 | $91.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $154.88 | Professional | None (both parts) | $33.11 | $93.33 | $154.88 |
Providence Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $123.03 | $158.49 | $213.80 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $70.79 | $89.13 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $83.18 | Professional | TC · Technical part | $52.48 | $64.57 | $83.18 |
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 $120.23 Median $173.78 Typical High $251.19 | Professional | None (both parts) | $120.23 | $173.78 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $95.50 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $53.70 | $75.86 | $112.20 |
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 $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $46.77 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $18.62 | $26.30 | $26.30 |
Where New Mexico sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 40th of 51
$117
AK $275UT $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.