How much rates vary
Facilitymedian $933 · 10th to 90th $129 to $1,479Professionalmedian $60 · 10th to 90th $17 to $145
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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $52.48 | $74.13 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.38 Typical High $23.99 | Professional | 26 · Professional part | $15.14 | $21.38 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $51.29 Typical High $123.03 | Professional | TC · Technical part | $38.02 | $51.29 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $56.23 Typical High $64.57 | Professional | None (both parts) | $45.71 | $56.23 | $64.57 |
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 $12.88 Median $45.71 Typical High $91.20 | Professional | None (both parts) | $12.88 | $45.71 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $144.54 Typical High $234.42 | Professional | None (both parts) | $74.13 | $144.54 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.44 Typical High $33.11 | Professional | 26 · Professional part | $17.38 | $23.44 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $125.89 Typical High $204.17 | Professional | TC · Technical part | $54.95 | $125.89 | $204.17 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.70 Median $72.44 Typical High $95.50 | Professional | None (both parts) | $25.70 | $72.44 | $95.50 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $128.82 Typical High $144.54 | Facility | None | $67.61 | $128.82 | $144.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $74.13 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $74.13 | $144.54 | $223.87 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $33.11 | Professional | 26 · Professional part | $19.95 | $24.55 | $33.11 |
Providence Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $54.95 | $125.89 | $194.98 |
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 $74.13 Median $128.82 Typical High $239.88 | Professional | None (both parts) | $74.13 | $128.82 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $25.70 Typical High $38.90 | Professional | 26 · Professional part | $16.98 | $25.70 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $97.72 Typical High $213.80 | Professional | TC · Technical part | $53.70 | $97.72 | $213.80 |
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 $26.30 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $26.30 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $10.47 | $14.79 | $14.79 |
Where New Mexico sits
The same service costs 3.2 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· 49th of 51
$63.10
AK $162TX $51.29
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.