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 $51.29 Median $51.29 Typical High $141.25 | Facility | None | $51.29 | $51.29 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
BCBS New Mexico Setting Facility Modifier None Typical Low $81.28 Median $288.40 Typical High $446.68 | Facility | None | $81.28 | $288.40 | $446.68 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $31.62 Median $41.69 Typical High $51.29 | Professional | None (both parts) | $31.62 | $41.69 | $51.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $64.57 Typical High $114.82 | Professional | None (both parts) | $53.70 | $64.57 | $114.82 |
Providence Setting Professional Modifier None (both parts) Typical Low $56.23 Median $67.61 Typical High $74.13 | Professional | None (both parts) | $56.23 | $67.61 | $74.13 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $30.90 | Professional | None (both parts) | $21.38 | $21.38 | $30.90 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where New Mexico sits
The same service costs 3.1 times more in Alaska than in Maine. 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· 41st of 51
$51.29
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.