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 $41.69 Median $41.69 Typical High $42.66 | Facility | None | $41.69 | $41.69 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $61.66 Typical High $67.61 | Professional | None | $42.66 | $61.66 | $67.61 |
BCBS New Mexico Setting Facility Modifier None Typical Low $177.83 Median $630.96 Typical High $977.24 | Facility | None | $177.83 | $630.96 | $977.24 |
BCBS New Mexico Setting Professional Modifier None Typical Low $30.90 Median $48.98 Typical High $67.61 | Professional | None | $30.90 | $48.98 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $70.79 Typical High $95.50 | Professional | None | $56.23 | $70.79 | $95.50 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $44.67 Typical High $75.86 | Professional | None | $33.11 | $44.67 | $75.86 |
Providence Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $95.50 | Professional | None | $56.23 | $72.44 | $95.50 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $416.87 | Facility | None | $186.21 | $186.21 | $416.87 |
United Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $112.20 | Professional | None | $53.70 | $77.62 | $112.20 |
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 $21.38 Median $30.90 Typical High $31.62 | Professional | 52 · Reduced service | $21.38 | $30.90 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $12.30 Typical High $12.59 | Professional | 53 · Discontinued | $8.51 | $12.30 | $12.59 |
Where New Mexico sits
The same service costs 2.7 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· 46th of 51
$53.70
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.