How much rates vary
Facilitymedian $5,012 · 10th to 90th $776 to $12,882Professionalmedian $603 · 10th to 90th $479 to $813
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 $512.86 Median $1,000.00 Typical High $8,709.64 | Facility | None | $512.86 | $1,000.00 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $691.83 | Professional | None | $457.09 | $645.65 | $691.83 |
BCBS New Mexico Setting Facility Modifier None Typical Low $2,691.53 Median $9,549.93 Typical High $14,791.08 | Facility | None | $2,691.53 | $9,549.93 | $14,791.08 |
BCBS New Mexico Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $691.83 | Professional | None | $478.63 | $575.44 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,265.80 Typical High $6,760.83 | Facility | None | $602.56 | $4,265.80 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $812.83 | Professional | None | $489.78 | $588.84 | $812.83 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $691.83 Typical High $691.83 | Professional | None | $33.11 | $691.83 | $691.83 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $4,786.30 Typical High $6,760.83 | Facility | None | $602.56 | $4,786.30 | $6,760.83 |
Providence Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $831.76 | Professional | None | $524.81 | $616.60 | $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 $501.19 Median $707.95 Typical High $977.24 | Professional | None | $501.19 | $707.95 | $977.24 |
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 $234.42 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $234.42 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $93.33 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $346.74 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $69.18 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $46.77 | $69.18 | $69.18 |
Where New Mexico sits
The same service costs 5.9 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $8,723MT $1,483
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.