How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,259 to $11,482Professionalmedian $537 · 10th to 90th $372 to $741
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 $426.58 Median $1,000.00 Typical High $8,709.64 | Facility | None | $426.58 | $1,000.00 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $602.56 | Professional | None | $389.05 | $549.54 | $602.56 |
BCBS New Mexico Setting Facility Modifier None Typical Low $1,445.44 Median $3,981.07 Typical High $13,182.57 | Facility | None | $1,445.44 | $3,981.07 | $13,182.57 |
BCBS New Mexico Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $776.25 | Professional | None | $371.54 | $512.86 | $776.25 |
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 $416.87 Median $501.19 Typical High $724.44 | Professional | None | $416.87 | $501.19 | $724.44 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $123.03 Typical High $616.60 | Professional | None | $33.11 | $123.03 | $616.60 |
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 $416.87 Median $501.19 Typical High $776.25 | Professional | None | $416.87 | $501.19 | $776.25 |
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 $398.11 Median $588.84 Typical High $776.25 | Professional | None | $398.11 | $588.84 | $776.25 |
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 $295.12 Median $416.87 Typical High $416.87 | Professional | 54 · Surgery only | $295.12 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $389.05 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $275.42 | $389.05 | $389.05 |
Where New Mexico sits
The same service costs 4.9 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 $6,755MT $1,384
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.