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 $27.54 Median $38.02 Typical High $43.65 | Facility | None | $27.54 | $38.02 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $51.29 | Professional | None | $31.62 | $38.02 | $51.29 |
Ambetter Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $43.65 | Professional | None | $30.20 | $35.48 | $43.65 |
BCBS New Mexico Setting Facility Modifier None Typical Low $25.70 Median $93.33 Typical High $141.25 | Facility | None | $25.70 | $93.33 | $141.25 |
BCBS New Mexico Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $33.88 | Professional | None | $21.88 | $22.91 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $38.90 | Professional | None | $25.12 | $38.90 | $38.90 |
Molina Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Providence Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Providence Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $38.90 | Professional | None | $25.12 | $38.90 | $38.90 |
United Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,949.84 | Facility | None | $870.96 | $870.96 | $1,949.84 |
United Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $56.23 | Professional | None | $31.62 | $33.88 | $56.23 |
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 $14.45 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $14.45 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $5.89 | $7.59 | $7.59 |
Where New Mexico sits
The same service costs 2.1 times more in North Dakota than in Ohio. 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· 36th of 51
$34.67
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.