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 $9.55 Median $18.62 Typical High $56.23 | Facility | None | $9.55 | $18.62 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $29.51 Typical High $51.29 | Professional | None | $11.22 | $29.51 | $51.29 |
BCBS New Mexico Setting Professional Modifier None Typical Low $8.32 Median $25.12 Typical High $47.86 | Professional | None | $8.32 | $25.12 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $29.51 Typical High $58.88 | Professional | None | $13.18 | $29.51 | $58.88 |
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 $13.18 Median $30.90 Typical High $63.10 | Professional | None | $13.18 | $30.90 | $63.10 |
United Setting Professional Modifier None Typical Low $13.49 Median $34.67 Typical High $69.18 | Professional | None | $13.49 | $34.67 | $69.18 |
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 $4.79 Median $12.59 Typical High $25.70 | Professional | 52 · Reduced service | $4.79 | $12.59 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $5.01 Typical High $10.23 | Professional | 53 · Discontinued | $1.95 | $5.01 | $10.23 |
Where New Mexico sits
The same service costs 2.5 times more in Kansas than in Maryland. 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· 38th of 51
$33.11
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.