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 $56.23 Median $56.23 Typical High $57.54 | Facility | None | $56.23 | $56.23 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $66.07 Typical High $74.13 | Professional | None | $57.54 | $66.07 | $74.13 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
BCBS New Mexico Setting Professional Modifier None Typical Low $41.69 Median $69.18 Typical High $77.62 | Professional | None | $41.69 | $69.18 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $114.82 | Professional | None | $67.61 | $95.50 | $114.82 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $61.66 Typical High $102.33 | Professional | None | $33.11 | $61.66 | $102.33 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $66.07 Typical High $75.86 | Facility | None | $63.10 | $66.07 | $75.86 |
Providence Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $173.78 | Professional | None | $67.61 | $102.33 | $173.78 |
United Setting Professional Modifier None Typical Low $75.86 Median $102.33 Typical High $125.89 | Professional | None | $75.86 | $102.33 | $125.89 |
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 $28.84 Median $33.11 Typical High $33.88 | Professional | 52 · Reduced service | $28.84 | $33.11 | $33.88 |
Where New Mexico sits
The same service costs 3.0 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· 34th 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.