How much rates vary
Facilitymedian $407 · 10th to 90th $112 to $661Professionalmedian $269 · 10th to 90th $126 to $427
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 $204.17 Median $316.23 Typical High $316.23 | Facility | None | $204.17 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $354.81 | Professional | None (both parts) | $204.17 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $181.97 Typical High $204.17 | Professional | 26 · Professional part | $125.89 | $181.97 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $104.71 Typical High $147.91 | Professional | TC · Technical part | $77.62 | $104.71 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $251.19 Typical High $323.59 | Professional | None (both parts) | $245.47 | $251.19 | $323.59 |
BCBS New Mexico Setting Facility Modifier None Typical Low $112.20 Median $407.38 Typical High $630.96 | Facility | None | $112.20 | $407.38 | $630.96 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $109.65 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $109.65 | $173.78 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $323.59 Typical High $478.63 | Professional | None (both parts) | $251.19 | $323.59 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $199.53 Typical High $288.40 | Professional | 26 · Professional part | $151.36 | $199.53 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $186.21 | Professional | TC · Technical part | $100.00 | $125.89 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $33.11 | $218.78 | $346.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $275.42 Median $354.81 Typical High $478.63 | Professional | None (both parts) | $275.42 | $354.81 | $478.63 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $213.80 Typical High $288.40 | Professional | 26 · Professional part | $169.82 | $213.80 | $288.40 |
Providence Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $169.82 | Professional | TC · Technical part | $102.33 | $125.89 | $169.82 |
United Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $1,621.81 | Facility | None | $741.31 | $741.31 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $269.15 | $380.19 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $229.09 Typical High $331.13 | Professional | 26 · Professional part | $158.49 | $229.09 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $104.71 | $154.88 | $223.87 |
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 $102.33 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $102.33 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $40.74 | $57.54 | $57.54 |
Where New Mexico sits
The same service costs 3.3 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· 33rd of 51
$269
AK $589TX $178
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.