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 $194.98 Median $194.98 Typical High $281.84 | Facility | None | $194.98 | $194.98 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $295.12 | Professional | None | $194.98 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $97.72 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $38.90 | $56.23 | $56.23 |
BCBS New Mexico Setting Facility Modifier None Typical Low $380.19 Median $1,348.96 Typical High $2,089.30 | Facility | None | $380.19 | $1,348.96 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $331.13 Typical High $426.58 | Professional | None | $257.04 | $331.13 | $426.58 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Providence Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $467.74 | Professional | None | $257.04 | $363.08 | $467.74 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $933.25 | Facility | None | $426.58 | $426.58 | $933.25 |
United Setting Professional Modifier None Typical Low $234.42 Median $346.74 Typical High $512.86 | Professional | None | $234.42 | $346.74 | $512.86 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 59 · Distinct service | $251.19 | $251.19 | $251.19 |
Where New Mexico sits
The same service costs 2.8 times more in Nebraska 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
$288
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.