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 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | RR · Rental | $25.12 | $25.12 | $25.12 |
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 $34.67 Median $34.67 Typical High $34.67 | Facility | RR · Rental | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | RR · Rental | $29.51 | $29.51 | $29.51 |
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 $23.44 Median $56.23 Typical High $302.00 | Facility | None | $23.44 | $56.23 | $302.00 |
Providence Setting Professional Modifier None Typical Low $53.70 Median $812.83 Typical High $812.83 | Professional | None | $53.70 | $812.83 | $812.83 |
Providence Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $36.31 | Professional | RR · Rental | $29.51 | $29.51 | $36.31 |
United Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $51.29 | Professional | None | $22.91 | $22.91 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $23.99 Typical High $51.29 | Professional | RR · Rental | $22.91 | $23.99 | $51.29 |
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 36.3 times more in Vermont than in Hawaii. 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
$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.