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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $20.89 Typical High $22.91 | Professional | None | $15.14 | $20.89 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
BCBS New Mexico Setting Facility Modifier None Typical Low $181.97 Median $645.65 Typical High $1,000.00 | Facility | None | $181.97 | $645.65 | $1,000.00 |
BCBS New Mexico Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $19.05 | Professional | None | $13.49 | $15.85 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $25.12 Typical High $29.51 | Professional | None | $18.20 | $25.12 | $29.51 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Professional Modifier None Typical Low $18.20 Median $25.12 Typical High $30.90 | Professional | None | $18.20 | $25.12 | $30.90 |
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 $19.05 Median $27.54 Typical High $34.67 | Professional | None | $19.05 | $27.54 | $34.67 |
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 $7.41 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $7.41 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $3.02 | $4.17 | $4.17 |
Where New Mexico sits
The same service costs 2.3 times more in Minnesota 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· 31st of 51
$20.89
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.