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 $151.36 Median $151.36 Typical High $218.78 | Facility | None | $151.36 | $151.36 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $251.19 | Professional | None | $169.82 | $208.93 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $281.84 | Professional | None | $239.88 | $281.84 | $281.84 |
BCBS New Mexico Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $263.03 | Professional | None | $134.90 | $190.55 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $371.54 | Professional | None | $177.83 | $257.04 | $371.54 |
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 Facility Modifier None Typical Low $169.82 Median $177.83 Typical High $281.84 | Facility | None | $169.82 | $177.83 | $281.84 |
Providence Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $389.05 | Professional | None | $177.83 | $257.04 | $389.05 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $446.68 | Facility | None | $199.53 | $199.53 | $446.68 |
United Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $398.11 | Professional | None | $213.80 | $295.12 | $398.11 |
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 $79.43 Median $104.71 Typical High $125.89 | Professional | 52 · Reduced service | $79.43 | $104.71 | $125.89 |
Where New Mexico sits
The same service costs 2.7 times more in Alaska than in Alabama. 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· 23rd of 51
$251
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.