How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $524.81 Median $1,047.13 Typical High $7,762.47 | Facility | None | $524.81 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $691.83 | Professional | None | $467.74 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $3,467.37 Typical High $6,165.95 | Facility | None | $1,047.13 | $3,467.37 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $776.25 | Professional | None | $478.63 | $575.44 | $776.25 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $141.25 Typical High $691.83 | Professional | None | $33.11 | $141.25 | $691.83 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $3,981.07 Typical High $6,165.95 | Facility | None | $707.95 | $3,981.07 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $489.78 Median $602.56 Typical High $831.76 | Professional | None | $489.78 | $602.56 | $831.76 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $9,772.37 | Facility | None | $1,047.13 | $2,344.23 | $9,772.37 |
United Setting Professional Modifier None Typical Low $489.78 Median $676.08 Typical High $933.25 | Professional | None | $489.78 | $676.08 | $933.25 |
1 more rate 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 $354.81 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $354.81 | $524.81 | $524.81 |
Where New Mexico sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 22nd of 51
$676
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.