How much rates vary
Facilitymedian $2,239 · 10th to 90th $759 to $10,000Professionalmedian $724 · 10th to 90th $457 to $1,023
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 $602.56 Median $2,041.74 Typical High $7,762.47 | Facility | None | $602.56 | $2,041.74 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $891.25 | Professional | None | $537.03 | $776.25 | $891.25 |
BCBS New Mexico Setting Facility Modifier None Typical Low $758.58 Median $2,511.89 Typical High $12,589.25 | Facility | None | $758.58 | $2,511.89 | $12,589.25 |
BCBS New Mexico Setting Professional Modifier None Typical Low $457.09 Median $724.44 Typical High $1,000.00 | Professional | None | $457.09 | $724.44 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,905.46 Typical High $3,311.31 | Facility | None | $776.25 | $1,905.46 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $1,000.00 | Professional | None | $562.34 | $676.08 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $173.78 Typical High $870.96 | Professional | None | $33.11 | $173.78 | $870.96 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $1,905.46 Typical High $3,311.31 | Facility | None | $537.03 | $1,905.46 | $3,311.31 |
Providence Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $1,096.48 | Professional | None | $562.34 | $676.08 | $1,096.48 |
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 $524.81 Median $812.83 Typical High $1,071.52 | Professional | None | $524.81 | $812.83 | $1,071.52 |
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 $275.42 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $275.42 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $109.65 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $416.87 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $83.18 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $54.95 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $389.05 | $537.03 | $537.03 |
Where New Mexico sits
The same service costs 4.4 times more in Alabama 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
AL $8,454MT $1,932
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.