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 $100.00 Median $1,047.13 Typical High $7,762.47 | Facility | None | $100.00 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $169.82 | Professional | None | $97.72 | $128.82 | $169.82 |
BCBS New Mexico Setting Facility Modifier None Typical Low $239.88 Median $851.14 Typical High $1,318.26 | Facility | None | $239.88 | $851.14 | $1,318.26 |
BCBS New Mexico Setting Professional Modifier None Typical Low $70.79 Median $120.23 Typical High $181.97 | Professional | None | $70.79 | $120.23 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $602.56 | Facility | None | $109.65 | $131.83 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $204.17 | Professional | None | $109.65 | $147.91 | $204.17 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $117.49 Typical High $194.98 | Professional | None | $23.44 | $117.49 | $194.98 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $154.88 Typical High $537.03 | Facility | None | $109.65 | $154.88 | $537.03 |
Providence Setting Professional Modifier None Typical Low $112.20 Median $147.91 Typical High $223.87 | Professional | None | $112.20 | $147.91 | $223.87 |
United Setting Facility Modifier None Typical Low $199.53 Median $275.42 Typical High $1,318.26 | Facility | None | $199.53 | $275.42 | $1,318.26 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $229.09 | Professional | None | $109.65 | $158.49 | $229.09 |
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 $50.12 Median $64.57 Typical High $85.11 | Professional | 52 · Reduced service | $50.12 | $64.57 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $25.70 Typical High $33.88 | Professional | 53 · Discontinued | $19.95 | $25.70 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $19.50 Typical High $25.70 | Professional | 55 · Aftercare only | $15.14 | $19.50 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $12.88 Typical High $16.98 | Professional | 56 · Pre-op care only | $10.00 | $12.88 | $16.98 |
Where New Mexico sits
The same service costs 3.7 times more in Alaska 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.
New Mexico· 29th of 51
$148
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.