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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $42.66 Typical High $46.77 | Professional | None | $29.51 | $42.66 | $46.77 |
BCBS New Mexico Setting Professional Modifier None Typical Low $25.70 Median $36.31 Typical High $77.62 | Professional | None | $25.70 | $36.31 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $61.66 | Professional | None | $36.31 | $45.71 | $61.66 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $52.48 | Professional | None | $30.90 | $33.11 | $52.48 |
Providence Setting Facility Modifier None Typical Low $44.67 Median $53.70 Typical High $54.95 | Facility | None | $44.67 | $53.70 | $54.95 |
Providence Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $70.79 | Professional | None | $38.02 | $52.48 | $70.79 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $37.15 Median $53.70 Typical High $75.86 | Professional | None | $37.15 | $53.70 | $75.86 |
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 $14.79 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $14.79 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $5.89 | $8.51 | $8.51 |
Where New Mexico sits
The same service costs 2.7 times more in Alaska than in New York. 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
$45.71
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.