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 $1,000.00 Median $1,949.84 Typical High $8,709.64 | Facility | None | $1,000.00 | $1,949.84 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,737.80 | $2,290.87 | $2,290.87 |
BCBS New Mexico Setting Facility Modifier None Typical Low $1,862.09 Median $6,606.93 Typical High $10,232.93 | Facility | None | $1,862.09 | $6,606.93 | $10,232.93 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $2,290.87 | Facility | None | $1,000.00 | $1,174.90 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,187.76 Typical High $2,951.21 | Professional | None | $1,659.59 | $2,187.76 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $478.63 Typical High $2,344.23 | Professional | None | $33.11 | $478.63 | $2,344.23 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $4,365.16 | Facility | None | $1,023.29 | $1,202.26 | $4,365.16 |
Providence Setting Professional Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $3,388.44 | Professional | None | $1,659.59 | $2,238.72 | $3,388.44 |
United Setting Facility Modifier None Typical Low $346.74 Median $707.95 Typical High $3,019.95 | Facility | None | $346.74 | $707.95 | $3,019.95 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,630.27 Typical High $3,630.78 | Professional | None | $1,445.44 | $2,630.27 | $3,630.78 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,737.80 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,318.26 | $1,737.80 | $1,737.80 |
Where New Mexico sits
The same service costs 4.8 times more in Alaska than in Delaware. 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· 23rd of 51
$2,291
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.