How much rates vary
Facilitymedian $1,413 · 10th to 90th $525 to $6,761Professionalmedian $912 · 10th to 90th $138 to $1,698
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 $125.89 Median $1,445.44 Typical High $7,762.47 | Facility | None | $125.89 | $1,445.44 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $794.33 Typical High $1,819.70 | Professional | None | $120.23 | $794.33 | $1,819.70 |
BCBS New Mexico Setting Facility Modifier None Typical Low $1,412.54 Median $5,011.87 Typical High $7,762.47 | Facility | None | $1,412.54 | $5,011.87 | $7,762.47 |
BCBS New Mexico Setting Professional Modifier None Typical Low $141.25 Median $524.81 Typical High $1,737.80 | Professional | None | $141.25 | $524.81 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $891.25 Typical High $1,202.26 | Facility | None | $602.56 | $891.25 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $1,698.24 | Professional | None | $138.04 | $208.93 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $1,000.00 Typical High $1,659.59 | Professional | None | $33.11 | $1,000.00 | $1,659.59 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $1,479.11 | Facility | None | $602.56 | $1,000.00 | $1,479.11 |
Providence Setting Professional Modifier None Typical Low $138.04 Median $229.09 Typical High $1,698.24 | Professional | None | $138.04 | $229.09 | $1,698.24 |
United Setting Facility Modifier None Typical Low $346.74 Median $707.95 Typical High $3,019.95 | Facility | None | $346.74 | $707.95 | $3,019.95 |
United Setting Professional Modifier None Typical Low $147.91 Median $812.83 Typical High $1,819.70 | Professional | None | $147.91 | $812.83 | $1,819.70 |
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 $60.26 Median $398.11 Typical High $912.01 | Professional | 52 · Reduced service | $60.26 | $398.11 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $158.49 Typical High $363.08 | Professional | 53 · Discontinued | $24.55 | $158.49 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $588.84 Typical High $1,348.96 | Professional | 54 · Surgery only | $91.20 | $588.84 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $117.49 Typical High $269.15 | Professional | 55 · Aftercare only | $18.20 | $117.49 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $79.43 Typical High $181.97 | Professional | 56 · Pre-op care only | $12.02 | $79.43 | $181.97 |
Where New Mexico sits
The same service costs 5.5 times more in Hawaii 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.
Physician feeFacility fee
HI $4,440MD $808
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.