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 $9.12 Median $38.90 Typical High $39.81 | Facility | None | $9.12 | $38.90 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $14.45 Typical High $14.45 | Professional | None | $8.13 | $14.45 | $14.45 |
BCBS New Mexico Setting Facility Modifier None Typical Low $18.20 Median $64.57 Typical High $102.33 | Facility | None | $18.20 | $64.57 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $18.62 Typical High $25.70 | Professional | None | $10.96 | $18.62 | $25.70 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $60.26 Typical High $60.26 | Professional | None | $21.88 | $60.26 | $60.26 |
Providence Setting Facility Modifier None Typical Low $7.94 Median $21.38 Typical High $23.44 | Facility | None | $7.94 | $21.38 | $23.44 |
Providence Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $25.70 | Professional | None | $12.88 | $18.62 | $25.70 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
United Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $7.41 | Professional | None | $5.13 | $5.13 | $7.41 |
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 $4.07 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $4.07 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $1.62 | $2.88 | $2.88 |
Where New Mexico sits
The same service costs 4.0 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· 7th of 51
$16.60
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.