How much rates vary
Facilitymedian $417 · 10th to 90th $87 to $646Professionalmedian $93 · 10th to 90th $32 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 $87.10 Median $131.83 Typical High $131.83 | Facility | None | $87.10 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $138.04 | Professional | None (both parts) | $83.18 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $44.67 | Professional | 26 · Professional part | $27.54 | $40.74 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $81.28 Typical High $93.33 | Professional | TC · Technical part | $56.23 | $81.28 | $93.33 |
BCBS New Mexico Setting Facility Modifier None Typical Low $120.23 Median $436.52 Typical High $660.69 | Facility | None | $120.23 | $436.52 | $660.69 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $23.99 Median $48.98 Typical High $95.50 | Professional | None (both parts) | $23.99 | $48.98 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $72.44 | $107.15 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $43.65 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $53.70 Typical High $95.50 | Professional | TC · Technical part | $33.88 | $53.70 | $95.50 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $33.11 | $93.33 | $141.25 |
Providence Setting Facility Modifier None Typical Low $51.29 Median $69.18 Typical High $77.62 | Facility | None | $51.29 | $69.18 | $77.62 |
Providence Setting Professional Modifier None (both parts) Typical Low $72.44 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $72.44 | $114.82 | $173.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $37.15 | $45.71 | $61.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $56.23 Typical High $95.50 | Professional | TC · Technical part | $33.88 | $56.23 | $95.50 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $562.34 | Facility | None | $251.19 | $251.19 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $63.10 | $109.65 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $48.98 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $60.26 Typical High $117.49 | Professional | TC · Technical part | $23.99 | $60.26 | $117.49 |
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 $43.65 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $43.65 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $17.38 | $23.99 | $23.99 |
Where New Mexico sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 42nd of 51
$93.33
AK $229KY $64.57
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.