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 $28.18 Median $1,047.13 Typical High $7,762.47 | Facility | None | $28.18 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $58.88 Typical High $104.71 | Professional | None | $32.36 | $58.88 | $104.71 |
BCBS New Mexico Setting Facility Modifier None Typical Low $89.13 Median $316.23 Typical High $489.78 | Facility | None | $89.13 | $316.23 | $489.78 |
BCBS New Mexico Setting Professional Modifier None Typical Low $33.88 Median $57.54 Typical High $104.71 | Professional | None | $33.88 | $57.54 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $93.33 Typical High $602.56 | Facility | None | $77.62 | $93.33 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $74.13 Typical High $144.54 | Professional | None | $38.90 | $74.13 | $144.54 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $60.26 Typical High $123.03 | Professional | None | $14.79 | $60.26 | $123.03 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $91.20 Typical High $537.03 | Facility | None | $61.66 | $91.20 | $537.03 |
Providence Setting Professional Modifier None Typical Low $42.66 Median $75.86 Typical High $144.54 | Professional | None | $42.66 | $75.86 | $144.54 |
United Setting Facility Modifier None Typical Low $199.53 Median $275.42 Typical High $1,318.26 | Facility | None | $199.53 | $275.42 | $1,318.26 |
United Setting Professional Modifier None Typical Low $38.90 Median $63.10 Typical High $134.90 | Professional | None | $38.90 | $63.10 | $134.90 |
5 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 $14.13 Median $17.38 Typical High $52.48 | Professional | 52 · Reduced service | $14.13 | $17.38 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.92 Typical High $20.89 | Professional | 53 · Discontinued | $5.62 | $6.92 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $20.89 Median $25.70 Typical High $77.62 | Professional | 54 · Surgery only | $20.89 | $25.70 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $5.25 Typical High $15.49 | Professional | 55 · Aftercare only | $4.27 | $5.25 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $3.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $2.82 | $3.47 | $10.47 |
Where New Mexico sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 31st of 51
$75.86
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.