How much rates vary
Facilitymedian $933 · 10th to 90th $138 to $1,479Professionalmedian $120 · 10th to 90th $26 to $240
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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $204.17 Typical High $208.93 | Professional | None (both parts) | $147.91 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $36.31 | Professional | 26 · Professional part | $25.70 | $33.88 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $177.83 | Professional | TC · Technical part | $125.89 | $173.78 | $177.83 |
BCBS New Mexico Setting Facility Modifier None Typical Low $269.15 Median $977.24 Typical High $1,479.11 | Facility | None | $269.15 | $977.24 | $1,479.11 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $19.50 Median $63.10 Typical High $162.18 | Professional | None (both parts) | $19.50 | $63.10 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $147.91 | $204.17 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $35.48 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $165.96 Typical High $245.47 | Professional | TC · Technical part | $123.03 | $165.96 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $33.11 | $199.53 | $239.88 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $109.65 Typical High $138.04 | Facility | None | $67.61 | $109.65 | $138.04 |
Providence Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $295.12 | Professional | None (both parts) | $169.82 | $218.78 | $295.12 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $30.20 | $37.15 | $50.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $141.25 | $173.78 | $245.47 |
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 $117.49 Median $194.98 Typical High $309.03 | Professional | None (both parts) | $117.49 | $194.98 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $38.90 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $154.88 Typical High $263.03 | Professional | TC · Technical part | $87.10 | $154.88 | $263.03 |
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 $74.13 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $74.13 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $29.51 | $40.74 | $40.74 |
Where New Mexico sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 51st of 51
$120
AK $347NM $120
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.