How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $50.12 Median $74.13 Typical High $102.33 | Facility | None | $50.12 | $74.13 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $79.43 | Professional | None | $52.48 | $74.13 | $79.43 |
BCBS New Mexico Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $74.13 | Professional | None | $42.66 | $54.95 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $104.71 | Professional | None | $56.23 | $77.62 | $104.71 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $85.11 Typical High $85.11 | Professional | None | $33.11 | $85.11 | $85.11 |
Providence Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $123.03 | Professional | None | $63.10 | $77.62 | $123.03 |
United Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $144.54 | Professional | None | $61.66 | $89.13 | $144.54 |
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 53 · Discontinued Typical Low $10.47 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $10.47 | $14.79 | $14.79 |
Where New Mexico sits
The same service costs 3.1 times more in Alaska than in New York. 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· 21st of 51
$70.79
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.