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 $24.55 Median $24.55 Typical High $26.92 | Facility | None | $24.55 | $24.55 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $41.69 | Professional | None | $26.92 | $38.90 | $41.69 |
BCBS New Mexico Setting Facility Modifier None Typical Low $60.26 Median $218.78 Typical High $338.84 | Facility | None | $60.26 | $218.78 | $338.84 |
BCBS New Mexico Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $35.48 | Professional | None | $22.39 | $26.30 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $37.15 | Professional | None | $34.67 | $34.67 | $37.15 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $38.90 Typical High $41.69 | Facility | None | $35.48 | $38.90 | $41.69 |
Providence Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $79.43 | Professional | None | $28.84 | $34.67 | $79.43 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $162.18 | Facility | None | $74.13 | $74.13 | $162.18 |
United Setting Professional Modifier None Typical Low $35.48 Median $47.86 Typical High $66.07 | Professional | None | $35.48 | $47.86 | $66.07 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 59 · Distinct service | $30.90 | $30.90 | $30.90 |
Where New Mexico sits
The same service costs 2.4 times more in Alaska than in Louisiana. 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· 16th of 51
$38.90
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.