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 $436.52 Median $2,041.74 Typical High $7,762.47 | Facility | None | $436.52 | $2,041.74 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $616.60 | Professional | None | $380.19 | $588.84 | $616.60 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
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 $331.13 Median $512.86 Typical High $707.95 | Professional | None | $331.13 | $512.86 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $707.95 | Professional | None | $446.68 | $512.86 | $707.95 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $120.23 Typical High $602.56 | Professional | None | $33.11 | $120.23 | $602.56 |
Providence Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $5,754.40 | Facility | None | $575.44 | $575.44 | $5,754.40 |
Providence Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $724.44 | Professional | None | $467.74 | $537.03 | $724.44 |
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 $436.52 Median $588.84 Typical High $831.76 | Professional | None | $436.52 | $588.84 | $831.76 |
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 $281.84 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $281.84 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $436.52 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $263.03 | $436.52 | $436.52 |
Where New Mexico sits
The same service costs 4.4 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· 22nd of 51
$575
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.