How much rates vary
Facilitymedian $1,096 · 10th to 90th $525 to $2,455Professionalmedian $676 · 10th to 90th $447 to $977
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 $562.34 Median $1,000.00 Typical High $7,762.47 | Facility | None | $562.34 | $1,000.00 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $758.58 | Professional | None | $524.81 | $660.69 | $758.58 |
BCBS New Mexico Setting Facility Modifier None Typical Low $549.54 Median $1,122.02 Typical High $2,344.23 | Facility | None | $549.54 | $1,122.02 | $2,344.23 |
BCBS New Mexico Setting Professional Modifier None Typical Low $295.12 Median $630.96 Typical High $954.99 | Professional | None | $295.12 | $630.96 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,174.90 Typical High $1,778.28 | Facility | None | $602.56 | $1,174.90 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $954.99 | Professional | None | $549.54 | $707.95 | $954.99 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $478.63 Typical High $1,202.26 | Professional | None | $33.11 | $478.63 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $1,148.15 Typical High $2,238.72 | Facility | None | $537.03 | $1,148.15 | $2,238.72 |
Providence Setting Professional Modifier None Typical Low $562.34 Median $758.58 Typical High $1,000.00 | Professional | None | $562.34 | $758.58 | $1,000.00 |
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 $501.19 Median $741.31 Typical High $1,023.29 | Professional | None | $501.19 | $741.31 | $1,023.29 |
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 $263.03 Median $331.13 Typical High $354.81 | Professional | 52 · Reduced service | $263.03 | $331.13 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $134.90 Typical High $141.25 | Professional | 53 · Discontinued | $104.71 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $501.19 Typical High $524.81 | Professional | 54 · Surgery only | $389.05 | $501.19 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $100.00 Typical High $104.71 | Professional | 55 · Aftercare only | $77.62 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $66.07 Typical High $70.79 | Professional | 56 · Pre-op care only | $52.48 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $467.74 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $363.08 | $467.74 | $489.78 |
Where New Mexico sits
The same service costs 4.0 times more in Colorado than in Florida. 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 $4,440FL $1,118
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.