How much rates vary
Facilitymedian $447 · 10th to 90th $120 to $708Professionalmedian $417 · 10th to 90th $107 to $759
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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $616.60 Typical High $724.44 | Professional | None (both parts) | $446.68 | $616.60 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $138.04 Typical High $151.36 | Professional | 26 · Professional part | $95.50 | $138.04 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $478.63 Typical High $575.44 | Professional | TC · Technical part | $346.74 | $478.63 | $575.44 |
BCBS New Mexico Setting Facility Modifier None Typical Low $120.23 Median $436.52 Typical High $676.08 | Facility | None | $120.23 | $436.52 | $676.08 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $83.18 Median $380.19 Typical High $537.03 | Professional | None (both parts) | $83.18 | $380.19 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $616.60 Typical High $891.25 | Professional | None (both parts) | $512.86 | $616.60 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $151.36 Typical High $213.80 | Professional | 26 · Professional part | $112.20 | $151.36 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $489.78 Typical High $691.83 | Professional | TC · Technical part | $380.19 | $489.78 | $691.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $588.84 Typical High $758.58 | Professional | None (both parts) | $33.11 | $588.84 | $758.58 |
Providence Setting Professional Modifier None (both parts) Typical Low $512.86 Median $691.83 Typical High $933.25 | Professional | None (both parts) | $512.86 | $691.83 | $933.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $158.49 Typical High $213.80 | Professional | 26 · Professional part | $128.82 | $158.49 | $213.80 |
Providence Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $489.78 Typical High $616.60 | Professional | TC · Technical part | $380.19 | $489.78 | $616.60 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $3,715.35 | Facility | None | $1,698.24 | $1,698.24 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $741.31 Typical High $1,071.52 | Professional | None (both parts) | $501.19 | $741.31 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $169.82 Typical High $251.19 | Professional | 26 · Professional part | $117.49 | $169.82 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $549.54 Typical High $831.76 | Professional | TC · Technical part | $398.11 | $549.54 | $831.76 |
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 $223.87 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $223.87 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $89.13 | $123.03 | $123.03 |
Where New Mexico sits
The same service costs 3.1 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· 50th of 51
$417
AK $1,259TX $407
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.