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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $891.25 | Professional | None | $707.95 | $831.76 | $891.25 |
BCBS New Mexico Setting Professional Modifier None Typical Low $831.76 Median $870.96 Typical High $1,122.02 | Professional | None | $831.76 | $870.96 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,445.44 | Professional | None | $851.14 | $1,071.52 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $1,288.25 Typical High $1,348.96 | Professional | None | $33.11 | $1,288.25 | $1,348.96 |
Providence Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,548.82 | Professional | None | $891.25 | $1,122.02 | $1,548.82 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,621.81 | Professional | None | $912.01 | $1,258.93 | $1,621.81 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 25 · Same-day visit | $776.25 | $776.25 | $776.25 |
Where New Mexico sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 22nd of 51
$1,023
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.