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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $186.21 Typical High $186.21 | Professional | None | $112.20 | $186.21 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
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 $81.28 Median $107.15 Typical High $199.53 | Professional | None | $81.28 | $107.15 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $186.21 | Professional | None | $102.33 | $128.82 | $186.21 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $162.18 Typical High $162.18 | Professional | None | $33.11 | $162.18 | $162.18 |
Providence Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $190.55 | Professional | None | $102.33 | $134.90 | $190.55 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $562.34 | Facility | None | $251.19 | $251.19 | $562.34 |
United Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $234.42 | Professional | None | $125.89 | $173.78 | $234.42 |
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 $56.23 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $56.23 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $22.39 | $37.15 | $37.15 |
Where New Mexico sits
The same service costs 3.0 times more in Minnesota than in Kentucky. 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· 20th of 51
$162
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.