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 $47.86 Median $208.93 Typical High $2,137.96 | Facility | None | $47.86 | $208.93 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $123.03 Typical High $194.98 | Professional | None | $31.62 | $123.03 | $194.98 |
BCBS New Mexico Setting Facility Modifier None Typical Low $223.87 Median $776.25 Typical High $1,258.93 | Facility | None | $223.87 | $776.25 | $1,258.93 |
BCBS New Mexico Setting Professional Modifier None Typical Low $36.31 Median $131.83 Typical High $190.55 | Professional | None | $36.31 | $131.83 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $53.70 Typical High $239.88 | Professional | None | $36.31 | $53.70 | $239.88 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $37.15 Typical High $186.21 | Professional | None | $22.39 | $37.15 | $186.21 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Providence Setting Professional Modifier None Typical Low $36.31 Median $64.57 Typical High $269.15 | Professional | None | $36.31 | $64.57 | $269.15 |
United Setting Facility Modifier None Typical Low $229.09 Median $1,047.13 Typical High $1,445.44 | Facility | None | $229.09 | $1,047.13 | $1,445.44 |
United Setting Professional Modifier None Typical Low $32.36 Median $134.90 Typical High $295.12 | Professional | None | $32.36 | $134.90 | $295.12 |
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 $23.99 Median $91.20 Typical High $141.25 | Professional | 54 · Surgery only | $23.99 | $91.20 | $141.25 |
Where New Mexico sits
The same service costs 4.7 times more in Wisconsin 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.
New Mexico· 42nd of 51
$112
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.