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 $14.79 Median $14.79 Typical High $15.14 | Facility | None | $14.79 | $14.79 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $22.39 Typical High $26.30 | Professional | None | $15.14 | $22.39 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $17.38 | Professional | None | $16.22 | $16.22 | $17.38 |
BCBS New Mexico Setting Facility Modifier None Typical Low $141.25 Median $489.78 Typical High $776.25 | Facility | None | $141.25 | $489.78 | $776.25 |
BCBS New Mexico Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $47.86 | Professional | None | $12.88 | $18.62 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $33.88 Typical High $87.10 | Professional | None | $20.42 | $33.88 | $87.10 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $33.11 Typical High $50.12 | Professional | None | $29.51 | $33.11 | $50.12 |
Providence Setting Facility Modifier None Typical Low $12.30 Median $64.57 Typical High $69.18 | Facility | None | $12.30 | $64.57 | $69.18 |
Providence Setting Professional Modifier None Typical Low $21.38 Median $33.88 Typical High $87.10 | Professional | None | $21.38 | $33.88 | $87.10 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $575.44 | Facility | None | $263.03 | $263.03 | $575.44 |
United Setting Professional Modifier None Typical Low $20.42 Median $35.48 Typical High $97.72 | Professional | None | $20.42 | $35.48 | $97.72 |
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 $7.59 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $7.59 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $3.02 | $4.47 | $4.47 |
Where New Mexico sits
The same service costs 2.7 times more in Alaska 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· 21st of 51
$26.30
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.