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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $245.47 Typical High $245.47 | Professional | None | $154.88 | $245.47 | $245.47 |
BCBS New Mexico Setting Professional Modifier None Typical Low $144.54 Median $147.91 Typical High $257.04 | Professional | None | $144.54 | $147.91 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $229.09 | Professional | None | $33.11 | $33.11 | $229.09 |
Providence Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $489.78 | Professional | None | $169.82 | $169.82 | $489.78 |
United Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $389.05 | Professional | None | $208.93 | $288.40 | $389.05 |
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 $77.62 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $77.62 | $123.03 | $123.03 |
Where New Mexico sits
The same service costs 3.6 times more in Alaska than in New York. 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· 40th of 51
$195
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.