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 $239.88 Median $1,548.82 Typical High $8,709.64 | Facility | None | $239.88 | $1,548.82 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $501.19 | Professional | None | $239.88 | $363.08 | $501.19 |
BCBS New Mexico Setting Facility Modifier None Typical Low $446.68 Median $758.58 Typical High $2,137.96 | Facility | None | $446.68 | $758.58 | $2,137.96 |
BCBS New Mexico Setting Professional Modifier None Typical Low $190.55 Median $316.23 Typical High $478.63 | Professional | None | $190.55 | $316.23 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $562.34 Typical High $1,698.24 | Facility | None | $467.74 | $562.34 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $645.65 | Professional | None | $309.03 | $436.52 | $645.65 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $302.00 Typical High $549.54 | Professional | None | $33.11 | $302.00 | $549.54 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $549.54 Typical High $2,238.72 | Facility | None | $309.03 | $549.54 | $2,238.72 |
Providence Setting Professional Modifier None Typical Low $323.59 Median $436.52 Typical High $660.69 | Professional | None | $323.59 | $436.52 | $660.69 |
United Setting Facility Modifier None Typical Low $199.53 Median $275.42 Typical High $1,445.44 | Facility | None | $199.53 | $275.42 | $1,445.44 |
United Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $676.08 | Professional | None | $281.84 | $436.52 | $676.08 |
6 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 $120.23 Median $144.54 Typical High $229.09 | Professional | 52 · Reduced service | $120.23 | $144.54 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $57.54 Typical High $93.33 | Professional | 53 · Discontinued | $47.86 | $57.54 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $218.78 Typical High $346.74 | Professional | 54 · Surgery only | $181.97 | $218.78 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $43.65 Typical High $69.18 | Professional | 55 · Aftercare only | $36.31 | $43.65 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $28.84 Typical High $46.77 | Professional | 56 · Pre-op care only | $23.99 | $28.84 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $204.17 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $169.82 | $204.17 | $323.59 |
Where New Mexico sits
The same service costs 3.3 times more in Alaska than in Utah. 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· 18th of 51
$437
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.