How much rates vary
Facilitymedian $9,550 · 10th to 90th $776 to $22,387Professionalmedian $741 · 10th to 90th $537 to $1,072
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 $616.60 Median $2,041.74 Typical High $7,762.47 | Facility | None | $616.60 | $2,041.74 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $794.33 | Professional | None | $562.34 | $794.33 | $794.33 |
BCBS New Mexico Setting Facility Modifier None Typical Low $758.58 Median $12,022.64 Typical High $25,703.96 | Facility | None | $758.58 | $12,022.64 | $25,703.96 |
BCBS New Mexico Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $954.99 | Professional | None | $575.44 | $741.31 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $10,964.78 Typical High $15,488.17 | Facility | None | $776.25 | $10,964.78 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,047.13 | Professional | None | $602.56 | $724.44 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $177.83 Typical High $891.25 | Professional | None | $33.11 | $177.83 | $891.25 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $2,754.23 Typical High $16,218.10 | Facility | None | $676.08 | $2,754.23 | $16,218.10 |
Providence Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,148.15 | Professional | None | $602.56 | $724.44 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $5,495.41 Typical High $24,547.09 | Facility | None | $1,995.26 | $5,495.41 | $24,547.09 |
United Setting Professional Modifier None Typical Low $562.34 Median $870.96 Typical High $1,122.02 | Professional | None | $562.34 | $870.96 | $1,122.02 |
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 $281.84 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $281.84 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $114.82 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $426.58 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $85.11 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $56.23 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $549.54 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $398.11 | $549.54 | $549.54 |
Where New Mexico sits
The same service costs 10.1 times more in Alaska 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
AK $19,890MT $1,977
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.