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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $28.84 | Professional | None | $19.95 | $28.84 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $24.55 | Professional | None | $21.88 | $21.88 | $24.55 |
BCBS New Mexico Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $31.62 | Professional | None | $17.38 | $22.91 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $28.84 Typical High $39.81 | Professional | None | $23.99 | $28.84 | $39.81 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $34.67 | Professional | None | $33.11 | $34.67 | $34.67 |
Providence Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $34.67 | Facility | None | $28.18 | $33.88 | $34.67 |
Providence Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $40.74 | Professional | None | $23.99 | $29.51 | $40.74 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $25.12 Median $35.48 Typical High $45.71 | Professional | None | $25.12 | $35.48 | $45.71 |
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 $10.00 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $10.00 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $3.98 | $5.75 | $5.75 |
Where New Mexico sits
The same service costs 2.6 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· 33rd of 51
$28.84
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.