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 $81.28 Median $134.90 Typical High $199.53 | Facility | None | $81.28 | $134.90 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $134.90 Typical High $134.90 | Professional | None | $81.28 | $134.90 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
BCBS New Mexico Setting Facility Modifier None Typical Low $177.83 Median $630.96 Typical High $977.24 | Facility | None | $177.83 | $630.96 | $977.24 |
BCBS New Mexico Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $109.65 | Professional | None | $79.43 | $87.10 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $158.49 | Professional | None | $69.18 | $100.00 | $158.49 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $158.49 Typical High $158.49 | Professional | None | $33.11 | $158.49 | $158.49 |
Providence Setting Facility Modifier None Typical Low $134.90 Median $173.78 Typical High $199.53 | Facility | None | $134.90 | $173.78 | $199.53 |
Providence Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $151.36 | Professional | None | $69.18 | $100.00 | $151.36 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $93.33 Median $128.82 Typical High $158.49 | Professional | None | $93.33 | $128.82 | $158.49 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $37.15 | $67.61 | $67.61 |
Where New Mexico sits
The same service costs 3.3 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· 30th of 51
$105
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.