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 $2.95 Median $3.72 Typical High $5.50 | Facility | None | $2.95 | $3.72 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.72 Typical High $3.72 | Professional | None | $2.95 | $3.72 | $3.72 |
BCBS New Mexico Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.63 | Professional | None | $2.45 | $2.45 | $2.63 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $5.89 | Facility | None | $2.95 | $2.95 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Molina Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $5.01 | Professional | None | $3.39 | $3.39 | $5.01 |
Providence Setting Facility Modifier None Typical Low $2.95 Median $3.31 Typical High $5.89 | Facility | None | $2.95 | $3.31 | $5.89 |
Providence Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
United Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | None | $2.69 | $2.69 | $2.69 |
4 more rates 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 $1.48 Median $1.86 Typical High $1.86 | Professional | 52 · Reduced service | $1.48 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.76 Typical High $0.76 | Professional | 53 · Discontinued | $0.59 | $0.76 | $0.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.44 Median $0.56 Typical High $0.56 | Professional | 55 · Aftercare only | $0.44 | $0.56 | $0.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.37 Typical High $0.37 | Professional | 56 · Pre-op care only | $0.28 | $0.37 | $0.37 |
Where New Mexico sits
Rates are fairly even across states for this service. 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· 30th of 51
$2.95
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.