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 $407.38 Median $1,000.00 Typical High $7,762.47 | Facility | None | $407.38 | $1,000.00 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $575.44 Typical High $575.44 | Professional | None | $354.81 | $575.44 | $575.44 |
Ambetter Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $371.54 | Professional | None | $323.59 | $354.81 | $371.54 |
BCBS New Mexico Setting Facility Modifier None Typical Low $3,890.45 Median $13,803.84 Typical High $21,379.62 | Facility | None | $3,890.45 | $13,803.84 | $21,379.62 |
BCBS New Mexico Setting Professional Modifier None Typical Low $309.03 Median $478.63 Typical High $660.69 | Professional | None | $309.03 | $478.63 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $660.69 | Professional | None | $426.58 | $478.63 | $660.69 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $114.82 Typical High $562.34 | Professional | None | $33.11 | $114.82 | $562.34 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $5,754.40 | Facility | None | $537.03 | $537.03 | $5,754.40 |
Providence Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $676.08 | Professional | None | $446.68 | $501.19 | $676.08 |
United Setting Facility Modifier None Typical Low $891.25 Median $11,748.98 Typical High $26,302.68 | Facility | None | $891.25 | $11,748.98 | $26,302.68 |
United Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $776.25 | Professional | None | $407.38 | $549.54 | $776.25 |
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 $269.15 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $269.15 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $251.19 | $407.38 | $407.38 |
Where New Mexico sits
The same service costs 4.2 times more in Wyoming 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· 21st of 51
$537
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.