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 $147.91 Median $147.91 Typical High $245.47 | Facility | None | $147.91 | $147.91 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $245.47 Typical High $275.42 | Professional | None | $147.91 | $245.47 | $275.42 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | None | $162.18 | $162.18 | $190.55 |
BCBS New Mexico Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $380.19 | Professional | None | $117.49 | $181.97 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $380.19 | Professional | None | $194.98 | $275.42 | $380.19 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $234.42 Typical High $234.42 | Professional | None | $33.11 | $234.42 | $234.42 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $371.54 Typical High $380.19 | Facility | None | $309.03 | $371.54 | $380.19 |
Providence Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $380.19 | Professional | None | $199.53 | $275.42 | $380.19 |
United Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $436.52 | Professional | None | $208.93 | $302.00 | $436.52 |
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 $74.13 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $74.13 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $29.51 | $48.98 | $48.98 |
Where New Mexico sits
The same service costs 2.5 times more in Minnesota 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· 28th of 51
$245
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.