How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $24.55 Median $24.55 Typical High $74.13 | Facility | None | $24.55 | $24.55 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $57.54 Typical High $125.89 | Professional | None | $24.55 | $57.54 | $125.89 |
BCBS New Mexico Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $134.90 | Professional | None | $53.70 | $56.23 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $64.57 Typical High $138.04 | Professional | None | $35.48 | $64.57 | $138.04 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $112.20 Typical High $186.21 | Professional | None | $33.11 | $112.20 | $186.21 |
Providence Setting Facility Modifier None Typical Low $33.11 Median $87.10 Typical High $93.33 | Facility | None | $33.11 | $87.10 | $93.33 |
Providence Setting Professional Modifier None Typical Low $36.31 Median $64.57 Typical High $190.55 | Professional | None | $36.31 | $64.57 | $190.55 |
United Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $1,621.81 | Facility | None | $741.31 | $741.31 | $1,621.81 |
United Setting Professional Modifier None Typical Low $34.67 Median $69.18 Typical High $138.04 | Professional | None | $34.67 | $69.18 | $138.04 |
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 $12.30 Median $31.62 Typical High $63.10 | Professional | 52 · Reduced service | $12.30 | $31.62 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $12.59 Typical High $25.12 | Professional | 53 · Discontinued | $5.01 | $12.59 | $25.12 |
Where New Mexico sits
The same service costs 4.2 times more in Washington than in Maryland. 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
$66.07
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.