How much rates vary
Facilitymedian $912 · 10th to 90th $302 to $3,311Professionalmedian $182 · 10th to 90th $76 to $389
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 $120.23 Median $436.52 Typical High $2,137.96 | Facility | None | $120.23 | $436.52 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $194.98 Typical High $398.11 | Professional | None | $75.86 | $194.98 | $398.11 |
BCBS New Mexico Setting Facility Modifier None Typical Low $588.84 Median $2,089.30 Typical High $3,235.94 | Facility | None | $588.84 | $2,089.30 | $3,235.94 |
BCBS New Mexico Setting Professional Modifier None Typical Low $91.20 Median $165.96 Typical High $323.59 | Professional | None | $91.20 | $165.96 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $426.58 Typical High $602.56 | Facility | None | $302.00 | $426.58 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $234.42 Typical High $380.19 | Professional | None | $85.11 | $234.42 | $380.19 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $229.09 Typical High $380.19 | Professional | None | $33.11 | $229.09 | $380.19 |
Providence Setting Facility Modifier None Typical Low $177.83 Median $354.81 Typical High $602.56 | Facility | None | $177.83 | $354.81 | $602.56 |
Providence Setting Professional Modifier None Typical Low $87.10 Median $234.42 Typical High $389.05 | Professional | None | $87.10 | $234.42 | $389.05 |
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 $83.18 Median $181.97 Typical High $398.11 | Professional | None | $83.18 | $181.97 | $398.11 |
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 $38.02 Median $79.43 Typical High $199.53 | Professional | 52 · Reduced service | $38.02 | $79.43 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $31.62 Typical High $81.28 | Professional | 53 · Discontinued | $15.49 | $31.62 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $120.23 Typical High $302.00 | Professional | 54 · Surgery only | $57.54 | $120.23 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $23.99 Typical High $60.26 | Professional | 55 · Aftercare only | $11.48 | $23.99 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $15.85 Typical High $39.81 | Professional | 56 · Pre-op care only | $7.76 | $15.85 | $39.81 |
Where New Mexico sits
The same service costs 9.0 times more in Colorado 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
CO $4,579MT $507
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.