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 $660.69 Median $1,548.82 Typical High $8,709.64 | Facility | None | $660.69 | $1,548.82 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $912.01 Typical High $912.01 | Professional | None | $588.84 | $912.01 | $912.01 |
Ambetter Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
BCBS New Mexico Setting Facility Modifier None Typical Low $8,709.64 Median $31,622.78 Typical High $47,863.01 | Facility | None | $8,709.64 | $31,622.78 | $47,863.01 |
BCBS New Mexico Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $11,481.54 Typical High $16,218.10 | Facility | None | $1,412.54 | $11,481.54 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,122.02 | Professional | None | $676.08 | $954.99 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $512.86 Typical High $562.34 | Professional | None | $102.33 | $512.86 | $562.34 |
Providence Setting Facility Modifier None Typical Low $1,412.54 Median $11,481.54 Typical High $16,982.44 | Facility | None | $1,412.54 | $11,481.54 | $16,982.44 |
Providence Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,071.52 | Professional | None | $676.08 | $954.99 | $1,071.52 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $10,232.93 Typical High $23,988.33 | Facility | None | $3,981.07 | $10,232.93 | $23,988.33 |
United Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $1,445.44 | Professional | None | $467.74 | $691.83 | $1,445.44 |
2 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 54 · Surgery only Typical Low $436.52 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $436.52 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $407.38 | $630.96 | $630.96 |
Where New Mexico sits
The same service costs 8.3 times more in South Dakota than in Kentucky. 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· 40th 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.