How much rates vary
Facilitymedian $407 · 10th to 90th $112 to $631Professionalmedian $158 · 10th to 90th $81 to $257
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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $194.98 | Professional | None (both parts) | $123.03 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $102.33 Typical High $109.65 | Professional | 26 · Professional part | $69.18 | $102.33 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $70.79 Typical High $87.10 | Professional | TC · Technical part | $52.48 | $70.79 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
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 $61.66 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $61.66 | $104.71 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $144.54 | $194.98 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $109.65 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $107.15 | Professional | TC · Technical part | $60.26 | $81.28 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $123.03 Typical High $208.93 | Professional | None (both parts) | $33.11 | $123.03 | $208.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $165.96 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $165.96 | $199.53 | $269.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $158.49 | Professional | 26 · Professional part | $93.33 | $120.23 | $158.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $107.15 | Professional | TC · Technical part | $66.07 | $83.18 | $107.15 |
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 $151.36 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $151.36 | $218.78 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $128.82 Typical High $181.97 | Professional | 26 · Professional part | $89.13 | $128.82 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $128.82 | Professional | TC · Technical part | $63.10 | $89.13 | $128.82 |
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 $61.66 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $24.55 | $34.67 | $34.67 |
Where New Mexico sits
The same service costs 3.6 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· 27th of 51
$166
AK $380TX $105
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.