How much rates vary
Facilitymedian $5,495 · 10th to 90th $692 to $18,621Professionalmedian $871 · 10th to 90th $575 to $1,230
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 $691.83 Median $1,548.82 Typical High $8,709.64 | Facility | None | $691.83 | $1,548.82 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $870.96 | Professional | None | $645.65 | $870.96 | $870.96 |
BCBS New Mexico Setting Facility Modifier None Typical Low $616.60 Median $6,165.95 Typical High $22,387.21 | Facility | None | $616.60 | $6,165.95 | $22,387.21 |
BCBS New Mexico Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,412.54 | Professional | None | $645.65 | $812.83 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,495.41 Typical High $7,762.47 | Facility | None | $602.56 | $5,495.41 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,174.90 | Professional | None | $676.08 | $812.83 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $194.98 Typical High $977.24 | Professional | None | $33.11 | $194.98 | $977.24 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $2,238.72 Typical High $7,943.28 | Facility | None | $602.56 | $2,238.72 | $7,943.28 |
Providence Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,258.93 | Professional | None | $676.08 | $812.83 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $4,786.30 Typical High $14,125.38 | Facility | None | $1,348.96 | $4,786.30 | $14,125.38 |
United Setting Professional Modifier None Typical Low $660.69 Median $954.99 Typical High $1,318.26 | Professional | None | $660.69 | $954.99 | $1,318.26 |
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 $323.59 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $323.59 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $131.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $489.78 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $97.72 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $64.57 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $616.60 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $457.09 | $616.60 | $616.60 |
Where New Mexico sits
The same service costs 6.4 times more in Colorado 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.
Physician feeFacility fee
CO $13,837MT $2,168
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.