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 $15.14 Median $15.14 Typical High $26.30 | Facility | None | $15.14 | $15.14 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $26.30 Typical High $28.84 | Professional | None | $15.14 | $26.30 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $26.30 | Professional | None | $17.38 | $17.38 | $26.30 |
BCBS New Mexico Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $31.62 | Professional | None | $12.88 | $16.98 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $43.65 | Professional | None | $21.38 | $30.90 | $43.65 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $33.11 | Professional | None | $25.70 | $25.70 | $33.11 |
Providence Setting Facility Modifier None Typical Low $29.51 Median $36.31 Typical High $38.90 | Facility | None | $29.51 | $36.31 | $38.90 |
Providence Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $43.65 | Professional | None | $21.38 | $30.90 | $43.65 |
United Setting Professional Modifier None Typical Low $23.99 Median $37.15 Typical High $47.86 | Professional | None | $23.99 | $37.15 | $47.86 |
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 $7.59 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $7.59 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $3.02 | $5.25 | $5.25 |
Where New Mexico sits
The same service costs 2.6 times more in Minnesota than in Pennsylvania. 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· 34th of 51
$26.30
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.