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 $60.26 Median $104.71 Typical High $436.52 | Facility | None | $60.26 | $104.71 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $104.71 Typical High $144.54 | Professional | None | $60.26 | $104.71 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
BCBS New Mexico Setting Facility Modifier None Typical Low $169.82 Median $602.56 Typical High $933.25 | Facility | None | $169.82 | $602.56 | $933.25 |
BCBS New Mexico Setting Professional Modifier None Typical Low $89.13 Median $158.49 Typical High $407.38 | Professional | None | $89.13 | $158.49 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $295.12 Typical High $316.23 | Professional | None | $102.33 | $295.12 | $316.23 |
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 $162.18 Median $316.23 Typical High $467.74 | Professional | None | $162.18 | $316.23 | $467.74 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $575.44 | Facility | None | $263.03 | $263.03 | $575.44 |
United Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $239.88 | Professional | None | $42.66 | $57.54 | $239.88 |
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 $30.20 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $30.20 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $12.02 | $20.89 | $20.89 |
Where New Mexico sits
The same service costs 13.5 times more in Minnesota than in Indiana. 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· 48th of 51
$89.13
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.