How much rates vary
Facilitymedian $417 · 10th to 90th $83 to $776Professionalmedian $85 · 10th to 90th $33 to $132
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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $69.18 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $25.12 | $37.15 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $43.65 | $58.88 | $58.88 |
BCBS New Mexico Setting Facility Modifier None Typical Low $141.25 Median $489.78 Typical High $776.25 | Facility | None | $141.25 | $489.78 | $776.25 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $21.88 Median $56.23 Typical High $95.50 | Professional | None (both parts) | $21.88 | $56.23 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $77.62 | $100.00 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $39.81 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $57.54 Typical High $89.13 | Professional | TC · Technical part | $46.77 | $57.54 | $89.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $69.18 Typical High $112.20 | Professional | None (both parts) | $33.11 | $69.18 | $112.20 |
Providence Setting Facility Modifier None Typical Low $64.57 Median $83.18 Typical High $89.13 | Facility | None | $64.57 | $83.18 | $89.13 |
Providence Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $81.28 | $107.15 | $144.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $33.88 | $41.69 | $56.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $89.13 | Professional | TC · Technical part | $47.86 | $61.66 | $89.13 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $257.04 | Facility | None | $114.82 | $114.82 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $112.20 Typical High $169.82 | Professional | None (both parts) | $74.13 | $112.20 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $43.65 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $67.61 Typical High $104.71 | Professional | TC · Technical part | $39.81 | $67.61 | $104.71 |
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 $34.67 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $34.67 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $13.80 | $19.50 | $19.50 |
Where New Mexico sits
The same service costs 3.0 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· 26th of 51
$91.20
AK $204TX $69.18
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.