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 $87.10 Median $97.72 Typical High $125.89 | Facility | None | $87.10 | $97.72 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $165.96 | Professional | None | $107.15 | $131.83 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $134.90 | Professional | None | $83.18 | $97.72 | $134.90 |
BCBS New Mexico Setting Facility Modifier None Typical Low $204.17 Median $724.44 Typical High $1,122.02 | Facility | None | $204.17 | $724.44 | $1,122.02 |
BCBS New Mexico Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $112.20 | Professional | None | $66.07 | $81.28 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $123.03 | Professional | None | $85.11 | $120.23 | $123.03 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $173.78 | Professional | None | $104.71 | $173.78 | $173.78 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $165.96 | Facility | None | $154.88 | $154.88 | $165.96 |
Providence Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $123.03 | Professional | None | $83.18 | $120.23 | $123.03 |
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 $117.49 Median $120.23 Typical High $186.21 | Professional | None | $117.49 | $120.23 | $186.21 |
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 $48.98 Median $64.57 Typical High $70.79 | Professional | 52 · Reduced service | $48.98 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $25.70 Typical High $28.18 | Professional | 53 · Discontinued | $19.50 | $25.70 | $28.18 |
Where New Mexico sits
The same service costs 2.3 times more in Alaska 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· 39th of 51
$110
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.