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 $20.89 Median $85.11 Typical High $87.10 | Facility | None | $20.89 | $85.11 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $31.62 Typical High $31.62 | Professional | None | $18.20 | $31.62 | $31.62 |
BCBS New Mexico Setting Facility Modifier None Typical Low $109.65 Median $389.05 Typical High $630.96 | Facility | None | $109.65 | $389.05 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $22.39 Typical High $38.02 | Professional | None | $14.79 | $22.39 | $38.02 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Providence Setting Facility Modifier None Typical Low $19.05 Median $26.30 Typical High $30.20 | Facility | None | $19.05 | $26.30 | $30.20 |
Providence Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $38.02 | Professional | None | $18.62 | $22.39 | $38.02 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $162.18 | Facility | None | $74.13 | $74.13 | $162.18 |
United Setting Professional Modifier None Typical Low $8.32 Median $12.02 Typical High $12.59 | Professional | None | $8.32 | $12.02 | $12.59 |
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 $9.12 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $9.12 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $3.63 | $6.31 | $6.31 |
Where New Mexico sits
The same service costs 8.9 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· 18th of 51
$22.39
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.