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 $3.98 Median $10.23 Typical High $114.82 | Facility | None | $3.98 | $10.23 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $18.62 Typical High $63.10 | Professional | None | $4.57 | $18.62 | $63.10 |
Ambetter Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
BCBS New Mexico Setting Professional Modifier None Typical Low $4.17 Median $38.02 Typical High $51.29 | Professional | None | $4.17 | $38.02 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
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 Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $114.82 | Professional | None | $53.70 | $53.70 | $114.82 |
United Setting Professional Modifier None Typical Low $6.92 Median $41.69 Typical High $93.33 | Professional | None | $6.92 | $41.69 | $93.33 |
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 53 · Discontinued Typical Low $0.85 Median $1.38 Typical High $12.59 | Professional | 53 · Discontinued | $0.85 | $1.38 | $12.59 |
Where New Mexico sits
The same service costs 7.6 times more in Washington than in Michigan. 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· 48th of 51
$38.02
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.