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 $123.03 Median $1,047.13 Typical High $7,762.47 | Facility | None | $123.03 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $177.83 Typical High $177.83 | Professional | None | $107.15 | $177.83 | $177.83 |
BCBS New Mexico Setting Professional Modifier None Typical Low $97.72 Median $144.54 Typical High $204.17 | Professional | None | $97.72 | $144.54 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,288.25 Typical High $1,513.56 | Facility | None | $537.03 | $1,288.25 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $199.53 | Professional | None | $128.82 | $147.91 | $199.53 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $173.78 | Professional | None | $33.11 | $34.67 | $173.78 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $537.03 Typical High $1,513.56 | Facility | None | $169.82 | $537.03 | $1,513.56 |
Providence Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $208.93 | Professional | None | $134.90 | $154.88 | $208.93 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,071.52 Typical High $4,365.16 | Facility | None | $575.44 | $1,071.52 | $4,365.16 |
United Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $234.42 | Professional | None | $120.23 | $169.82 | $234.42 |
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 54 · Surgery only Typical Low $83.18 Median $134.90 Typical High $134.90 | Professional | 54 · Surgery only | $83.18 | $134.90 | $134.90 |
Where New Mexico sits
The same service costs 4.9 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· 21st of 51
$166
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.