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 $19.50 Median $19.50 Typical High $34.67 | Facility | None | $19.50 | $19.50 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $34.67 Typical High $34.67 | Professional | None | $19.50 | $34.67 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $22.39 | Professional | None | $19.05 | $22.39 | $22.39 |
BCBS New Mexico Setting Professional Modifier None Typical Low $16.60 Median $21.38 Typical High $29.51 | Professional | None | $16.60 | $21.38 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $27.54 Typical High $39.81 | Professional | None | $23.99 | $27.54 | $39.81 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Professional Modifier None Typical Low $23.99 Median $27.54 Typical High $40.74 | Professional | None | $23.99 | $27.54 | $40.74 |
United Setting Professional Modifier None Typical Low $25.12 Median $35.48 Typical High $45.71 | Professional | None | $25.12 | $35.48 | $45.71 |
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 $9.77 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $9.77 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $3.89 | $6.92 | $6.92 |
Where New Mexico sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 27th of 51
$28.84
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.