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 $60.26 Median $70.79 Typical High $158.49 | Facility | None | $60.26 | $70.79 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $85.11 | Professional | None | $63.10 | $70.79 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $85.11 | Professional | None | $54.95 | $72.44 | $85.11 |
BCBS New Mexico Setting Facility Modifier None Typical Low $81.28 Median $295.12 Typical High $446.68 | Facility | None | $81.28 | $295.12 | $446.68 |
BCBS New Mexico Setting Professional Modifier None Typical Low $47.86 Median $77.62 Typical High $83.18 | Professional | None | $47.86 | $77.62 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $131.83 | Professional | None | $74.13 | $104.71 | $131.83 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $70.79 Typical High $117.49 | Professional | None | $33.11 | $70.79 | $117.49 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $70.79 Typical High $85.11 | Facility | None | $66.07 | $70.79 | $85.11 |
Providence Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $186.21 | Professional | None | $75.86 | $109.65 | $186.21 |
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 $83.18 Median $114.82 Typical High $141.25 | Professional | None | $83.18 | $114.82 | $141.25 |
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 $30.90 Median $35.48 Typical High $38.90 | Professional | 52 · Reduced service | $30.90 | $35.48 | $38.90 |
Where New Mexico sits
The same service costs 2.8 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· 33rd of 51
$79.43
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.