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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $43.65 Typical High $43.65 | Professional | None | $26.30 | $43.65 | $43.65 |
BCBS New Mexico Setting Facility Modifier None Typical Low $51.29 Median $181.97 Typical High $281.84 | Facility | None | $51.29 | $181.97 | $281.84 |
BCBS New Mexico Setting Professional Modifier None Typical Low $26.92 Median $33.11 Typical High $35.48 | Professional | None | $26.92 | $33.11 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $54.95 | Professional | None | $26.92 | $38.90 | $54.95 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $54.95 Typical High $54.95 | Professional | None | $33.11 | $54.95 | $54.95 |
Providence Setting Facility Modifier None Typical Low $37.15 Median $38.90 Typical High $44.67 | Facility | None | $37.15 | $38.90 | $44.67 |
Providence Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $54.95 | Professional | None | $26.92 | $38.90 | $54.95 |
United Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
United Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $39.81 | Professional | None | $33.11 | $38.90 | $39.81 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $12.88 | $21.88 | $21.88 |
Where New Mexico sits
The same service costs 3.2 times more in Alaska 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· 31st of 51
$35.48
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.