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 $54.95 Median $54.95 Typical High $75.86 | Facility | None | $54.95 | $54.95 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $95.50 | Professional | None | $54.95 | $75.86 | $95.50 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
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 $43.65 Median $72.44 Typical High $104.71 | Professional | None | $43.65 | $72.44 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $602.56 | Facility | None | $60.26 | $72.44 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $102.33 Typical High $141.25 | Professional | None | $66.07 | $102.33 | $141.25 |
Molina Setting Professional Modifier None Typical Low $12.88 Median $64.57 Typical High $162.18 | Professional | None | $12.88 | $64.57 | $162.18 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $87.10 Typical High $537.03 | Facility | None | $63.10 | $87.10 | $537.03 |
Providence Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $141.25 | Professional | None | $69.18 | $102.33 | $141.25 |
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 $64.57 Median $95.50 Typical High $138.04 | Professional | None | $64.57 | $95.50 | $138.04 |
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 $27.54 Median $34.67 Typical High $46.77 | Professional | 52 · Reduced service | $27.54 | $34.67 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $13.80 Typical High $19.05 | Professional | 53 · Discontinued | $10.96 | $13.80 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $10.47 Typical High $14.13 | Professional | 55 · Aftercare only | $8.13 | $10.47 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.92 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.50 | $6.92 | $9.33 |
Where New Mexico sits
The same service costs 3.5 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
$89.13
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.