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 $87.10 Median $1,047.13 Typical High $7,762.47 | Facility | None | $87.10 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $177.83 Typical High $275.42 | Professional | None | $85.11 | $177.83 | $275.42 |
BCBS New Mexico Setting Facility Modifier None Typical Low $933.25 Median $3,311.31 Typical High $5,128.61 | Facility | None | $933.25 | $3,311.31 | $5,128.61 |
BCBS New Mexico Setting Professional Modifier None Typical Low $100.00 Median $169.82 Typical High $269.15 | Professional | None | $100.00 | $169.82 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $229.09 Typical High $707.95 | Facility | None | $162.18 | $229.09 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $199.53 Typical High $275.42 | Professional | None | $91.20 | $199.53 | $275.42 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $158.49 Typical High $263.03 | Professional | None | $33.11 | $158.49 | $263.03 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $239.88 Typical High $2,238.72 | Facility | None | $169.82 | $239.88 | $2,238.72 |
Providence Setting Professional Modifier None Typical Low $93.33 Median $199.53 Typical High $275.42 | Professional | None | $93.33 | $199.53 | $275.42 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,174.90 Typical High $4,365.16 | Facility | None | $575.44 | $1,174.90 | $4,365.16 |
United Setting Professional Modifier None Typical Low $100.00 Median $181.97 Typical High $316.23 | Professional | None | $100.00 | $181.97 | $316.23 |
5 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 $42.66 Median $79.43 Typical High $138.04 | Professional | 52 · Reduced service | $42.66 | $79.43 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $31.62 Typical High $54.95 | Professional | 53 · Discontinued | $16.98 | $31.62 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $117.49 Typical High $204.17 | Professional | 54 · Surgery only | $63.10 | $117.49 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $23.44 Typical High $40.74 | Professional | 55 · Aftercare only | $12.59 | $23.44 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $15.85 Typical High $27.54 | Professional | 56 · Pre-op care only | $8.51 | $15.85 | $27.54 |
Where New Mexico sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 26th of 51
$186
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.