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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $346.74 | Professional | None | $223.87 | $302.00 | $346.74 |
BCBS New Mexico Setting Professional Modifier None Typical Low $27.54 Median $36.31 Typical High $45.71 | Professional | None | $27.54 | $36.31 | $45.71 |
Cigna Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | RR · Rental | $30.90 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | RR · Rental | $26.30 | $26.30 | $26.30 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $95.50 | Professional | None | $67.61 | $67.61 | $95.50 |
Providence Setting Facility Modifier None Typical Low $14.45 Median $35.48 Typical High $302.00 | Facility | None | $14.45 | $35.48 | $302.00 |
Providence Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $81.28 | Professional | None | $35.48 | $45.71 | $81.28 |
Providence Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $36.31 | Professional | RR · Rental | $26.30 | $26.30 | $36.31 |
United Setting Professional Modifier None Typical Low $17.78 Median $22.91 Typical High $28.84 | Professional | None | $17.78 | $22.91 | $28.84 |
United Setting Professional Modifier RR · Rental Typical Low $14.79 Median $22.91 Typical High $28.84 | Professional | RR · Rental | $14.79 | $22.91 | $28.84 |
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 UE · Used equipment Typical Low $169.82 Median $229.09 Typical High $263.03 | Professional | UE · Used equipment | $169.82 | $229.09 | $263.03 |
Where New Mexico sits
The same service costs 29.5 times more in Wyoming than in Oklahoma. 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· 37th of 51
$45.71
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.