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 $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $8.71 | Professional | None | $6.03 | $8.71 | $8.71 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | RR · Rental | $0.89 | $0.89 | $0.89 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4.57 Median $6.46 Typical High $6.46 | Professional | UE · Used equipment | $4.57 | $6.46 | $6.46 |
BCBS New Mexico Setting Professional Modifier None Typical Low $0.85 Median $1.15 Typical High $13.18 | Professional | None | $0.85 | $1.15 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Molina Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $24.55 | Professional | None | $14.13 | $14.13 | $24.55 |
Providence Setting Facility Modifier None Typical Low $10.00 Median $10.96 Typical High $10.96 | Facility | None | $10.00 | $10.96 | $10.96 |
Providence Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $12.88 | Professional | None | $7.08 | $7.08 | $12.88 |
Providence Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $1.35 | Professional | RR · Rental | $0.60 | $0.60 | $1.35 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $9.77 | Professional | UE · Used equipment | $5.37 | $5.37 | $9.77 |
United Setting Professional Modifier None Typical Low $5.50 Median $5.89 Typical High $8.91 | Professional | None | $5.50 | $5.89 | $8.91 |
United Setting Professional Modifier RR · Rental Typical Low $0.56 Median $0.62 Typical High $0.91 | Professional | RR · Rental | $0.56 | $0.62 | $0.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $4.07 Median $4.47 Typical High $6.61 | Professional | UE · Used equipment | $4.07 | $4.47 | $6.61 |
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 MS · Maintenance fee Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | MS · Maintenance fee | $0.89 | $0.89 | $0.89 |
Where New Mexico sits
The same service costs 11.2 times more in Minnesota than in Illinois. 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· 46th of 51
$7.08
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.