How much rates vary
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 $39.81 Median $66.07 Typical High $138.04 | Facility | None | $39.81 | $66.07 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $56.23 Typical High $81.28 | Professional | None | $43.65 | $56.23 | $81.28 |
BCBS New Mexico Setting Facility Modifier None Typical Low $199.53 Median $676.08 Typical High $1,096.48 | Facility | None | $199.53 | $676.08 | $1,096.48 |
BCBS New Mexico Setting Professional Modifier None Typical Low $34.67 Median $57.54 Typical High $81.28 | Professional | None | $34.67 | $57.54 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $602.56 | Facility | None | $537.03 | $537.03 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $70.79 Typical High $102.33 | Professional | None | $47.86 | $70.79 | $102.33 |
Molina Setting Professional Modifier None Typical Low $11.48 Median $57.54 Typical High $95.50 | Professional | None | $11.48 | $57.54 | $95.50 |
Providence Setting Facility Modifier None Typical Low $39.81 Median $91.20 Typical High $602.56 | Facility | None | $39.81 | $91.20 | $602.56 |
Providence Setting Professional Modifier None Typical Low $47.86 Median $72.44 Typical High $109.65 | Professional | None | $47.86 | $72.44 | $109.65 |
United Setting Facility Modifier None Typical Low $199.53 Median $263.03 Typical High $1,318.26 | Facility | None | $199.53 | $263.03 | $1,318.26 |
United Setting Professional Modifier None Typical Low $44.67 Median $69.18 Typical High $114.82 | Professional | None | $44.67 | $69.18 | $114.82 |
4 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 $19.95 Median $27.54 Typical High $40.74 | Professional | 52 · Reduced service | $19.95 | $27.54 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $10.96 Typical High $16.22 | Professional | 53 · Discontinued | $7.94 | $10.96 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $8.32 Typical High $12.30 | Professional | 55 · Aftercare only | $6.03 | $8.32 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $5.50 Typical High $8.13 | Professional | 56 · Pre-op care only | $3.98 | $5.50 | $8.13 |
Where New Mexico sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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.
New Mexico· 39th of 51
$63.10
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.