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 $21.88 Median $21.88 Typical High $38.02 | Facility | None | $21.88 | $21.88 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $38.02 Typical High $38.02 | Professional | None | $23.44 | $38.02 | $38.02 |
Ambetter Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $27.54 | Professional | None | $24.55 | $24.55 | $27.54 |
BCBS New Mexico Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $32.36 | Professional | None | $18.20 | $23.99 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $30.20 Typical High $43.65 | Professional | None | $26.30 | $30.20 | $43.65 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $36.31 | Professional | None | $33.11 | $36.31 | $36.31 |
Providence Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $44.67 | Professional | None | $26.30 | $30.90 | $44.67 |
United Setting Professional Modifier None Typical Low $27.54 Median $38.90 Typical High $50.12 | Professional | None | $27.54 | $38.90 | $50.12 |
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 $10.72 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $10.72 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $4.37 | $7.59 | $7.59 |
Where New Mexico sits
The same service costs 2.9 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· 26th of 51
$32.36
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.