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 $54.95 Median $1,047.13 Typical High $7,762.47 | Facility | None | $54.95 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $87.10 Typical High $181.97 | Professional | None | $57.54 | $87.10 | $181.97 |
BCBS New Mexico Setting Facility Modifier None Typical Low $467.74 Median $1,698.24 Typical High $2,570.40 | Facility | None | $467.74 | $1,698.24 | $2,570.40 |
BCBS New Mexico Setting Professional Modifier None Typical Low $67.61 Median $138.04 Typical High $186.21 | Professional | None | $67.61 | $138.04 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $158.49 Typical High $602.56 | Facility | None | $134.90 | $158.49 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $125.89 Typical High $251.19 | Professional | None | $67.61 | $125.89 | $251.19 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Facility Modifier None Typical Low $138.04 Median $186.21 Typical High $707.95 | Facility | None | $138.04 | $186.21 | $707.95 |
Providence Setting Professional Modifier None Typical Low $69.18 Median $158.49 Typical High $251.19 | Professional | None | $69.18 | $158.49 | $251.19 |
United Setting Facility Modifier None Typical Low $346.74 Median $707.95 Typical High $2,630.27 | Facility | None | $346.74 | $707.95 | $2,630.27 |
United Setting Professional Modifier None Typical Low $67.61 Median $128.82 Typical High $257.04 | Professional | None | $67.61 | $128.82 | $257.04 |
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 $27.54 Median $33.88 Typical High $89.13 | Professional | 52 · Reduced service | $27.54 | $33.88 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $13.49 Typical High $36.31 | Professional | 53 · Discontinued | $10.96 | $13.49 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $50.12 Typical High $134.90 | Professional | 54 · Surgery only | $41.69 | $50.12 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $10.00 Typical High $26.92 | Professional | 55 · Aftercare only | $8.32 | $10.00 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.76 Typical High $18.20 | Professional | 56 · Pre-op care only | $5.50 | $6.76 | $18.20 |
Where New Mexico sits
The same service costs 2.6 times more in Alaska than in Montana. 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· 29th of 51
$148
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.