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 $6.92 Median $6.92 Typical High $14.13 | Facility | None | $6.92 | $6.92 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $12.59 Typical High $21.38 | Professional | None | $8.71 | $12.59 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $18.20 Typical High $18.20 | Professional | None | $14.45 | $18.20 | $18.20 |
BCBS New Mexico Setting Facility Modifier None Typical Low $63.10 Median $229.09 Typical High $346.74 | Facility | None | $63.10 | $229.09 | $346.74 |
BCBS New Mexico Setting Professional Modifier None Typical Low $6.46 Median $13.18 Typical High $17.38 | Professional | None | $6.46 | $13.18 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Molina Setting Professional Modifier None Typical Low $15.85 Median $26.30 Typical High $33.11 | Professional | None | $15.85 | $26.30 | $33.11 |
Providence Setting Facility Modifier None Typical Low $7.94 Median $10.96 Typical High $21.38 | Facility | None | $7.94 | $10.96 | $21.38 |
Providence Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $47.86 | Professional | None | $15.14 | $15.14 | $47.86 |
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 $11.75 Median $18.20 Typical High $28.18 | Professional | None | $11.75 | $18.20 | $28.18 |
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 $3.80 Median $6.03 Typical High $10.72 | Professional | 52 · Reduced service | $3.80 | $6.03 | $10.72 |
Where New Mexico sits
The same service costs 2.3 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· 36th of 51
$15.14
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.