How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,349 to $11,220Professionalmedian $1,778 · 10th to 90th $1,096 to $2,399
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 $1,548.82 Typical High $8,709.64 | Facility | None | $1,000.00 | $1,548.82 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,258.93 | $1,778.28 | $1,778.28 |
BCBS New Mexico Setting Facility Modifier None Typical Low $2,344.23 Median $8,511.38 Typical High $13,182.57 | Facility | None | $2,344.23 | $8,511.38 | $13,182.57 |
BCBS New Mexico Setting Professional Modifier None Typical Low $1,230.27 Median $2,041.74 Typical High $2,818.38 | Professional | None | $1,230.27 | $2,041.74 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,698.24 Typical High $2,511.89 | Facility | None | $1,412.54 | $1,698.24 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $2,344.23 | Professional | None | $1,380.38 | $1,659.59 | $2,344.23 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $389.05 Typical High $1,949.84 | Professional | None | $33.11 | $389.05 | $1,949.84 |
Providence Setting Facility Modifier None Typical Low $1,412.54 Median $1,737.80 Typical High $5,754.40 | Facility | None | $1,412.54 | $1,737.80 | $5,754.40 |
Providence Setting Professional Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,380.38 | $1,659.59 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $7,585.78 | Facility | None | $1,047.13 | $2,344.23 | $7,585.78 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $2,570.40 | Professional | None | $1,318.26 | $1,905.46 | $2,570.40 |
2 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 54 · Surgery only Typical Low $954.99 Median $1,318.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $954.99 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,230.27 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $891.25 | $1,230.27 | $1,230.27 |
Where New Mexico sits
The same service costs 3.4 times more in Alabama than in Maryland. 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.
Physician feeFacility fee
AL $9,171MD $2,698
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.