How much rates vary
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 $575.44 Median $2,454.71 Typical High $2,511.89 | Facility | None | $575.44 | $2,454.71 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $912.01 | Professional | None | $549.54 | $575.44 | $912.01 |
BCBS New Mexico Setting Facility Modifier None Typical Low $1,148.15 Median $4,073.80 Typical High $6,309.57 | Facility | None | $1,148.15 | $4,073.80 | $6,309.57 |
BCBS New Mexico Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $707.95 | Professional | None | $467.74 | $616.60 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $870.96 Typical High $1,737.80 | Professional | None | $338.84 | $870.96 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $912.01 | Facility | None | $489.78 | $776.25 | $912.01 |
Providence Setting Professional Modifier None Typical Low $676.08 Median $1,000.00 Typical High $1,096.48 | Professional | None | $676.08 | $1,000.00 | $1,096.48 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $316.23 Median $338.84 Typical High $457.09 | Professional | None | $316.23 | $338.84 | $457.09 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 90 · Outside lab | $407.38 | $407.38 | $407.38 |
Where New Mexico sits
The same service costs 3.4 times more in Alaska than in Maine. 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· 31st of 51
$617
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.