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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $91.20 Typical High $91.20 | Professional | None | $57.54 | $91.20 | $91.20 |
BCBS New Mexico Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $97.72 | Professional | None | $53.70 | $70.79 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $120.23 Typical High $177.83 | Professional | None | $60.26 | $120.23 | $177.83 |
Providence Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $54.95 | Facility | None | $28.84 | $28.84 | $54.95 |
Providence Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
United Setting Professional Modifier None Typical Low $144.54 Median $251.19 Typical High $380.19 | Professional | None | $144.54 | $251.19 | $380.19 |
2 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 $28.84 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $28.84 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $11.48 | $18.20 | $18.20 |
Where New Mexico sits
The same service costs 4.9 times more in Nebraska than in Florida. 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
$91.20
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.