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 $354.81 Median $1,047.13 Typical High $7,762.47 | Facility | None | $354.81 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $489.78 Typical High $489.78 | Professional | None | $316.23 | $489.78 | $489.78 |
BCBS New Mexico Setting Professional Modifier None Typical Low $263.03 Median $407.38 Typical High $524.81 | Professional | None | $263.03 | $407.38 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,318.26 Typical High $1,819.70 | Facility | None | $537.03 | $1,318.26 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $537.03 | Professional | None | $323.59 | $407.38 | $537.03 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $478.63 | Professional | None | $33.11 | $33.11 | $478.63 |
Providence Setting Facility Modifier None Typical Low $407.38 Median $1,318.26 Typical High $1,905.46 | Facility | None | $407.38 | $1,318.26 | $1,905.46 |
Providence Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $562.34 | Professional | None | $354.81 | $407.38 | $562.34 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,174.90 Typical High $4,570.88 | Facility | None | $575.44 | $1,174.90 | $4,570.88 |
United Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $630.96 | Professional | None | $331.13 | $467.74 | $630.96 |
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 78 · Unplanned return to OR Typical Low $223.87 Median $338.84 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $223.87 | $338.84 | $338.84 |
Where New Mexico sits
The same service costs 5.2 times more in Alaska than in Utah. 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· 24th of 51
$437
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.