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 $14.45 Median $57.54 Typical High $58.88 | Facility | None | $14.45 | $57.54 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $21.38 Typical High $21.38 | Professional | None | $12.30 | $21.38 | $21.38 |
BCBS New Mexico Setting Facility Modifier None Typical Low $22.39 Median $79.43 Typical High $123.03 | Facility | None | $22.39 | $79.43 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $15.14 Typical High $25.70 | Professional | None | $10.00 | $15.14 | $25.70 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $60.26 | Professional | None | $50.12 | $60.26 | $60.26 |
Providence Setting Facility Modifier None Typical Low $9.55 Median $13.18 Typical High $14.13 | Facility | None | $9.55 | $13.18 | $14.13 |
Providence Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $25.70 | Professional | None | $12.59 | $15.14 | $25.70 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $741.31 | Facility | None | $338.84 | $338.84 | $741.31 |
United Setting Professional Modifier None Typical Low $4.07 Median $8.13 Typical High $8.71 | Professional | None | $4.07 | $8.13 | $8.71 |
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 $6.17 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $6.17 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $2.45 | $4.37 | $4.37 |
Where New Mexico sits
The same service costs 9.3 times more in Alaska than in New Jersey. 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· 17th of 51
$14.45
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.