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 $281.84 Median $1,380.38 Typical High $7,762.47 | Facility | None | $281.84 | $1,380.38 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $478.63 | Professional | None | $281.84 | $354.81 | $478.63 |
BCBS New Mexico Setting Facility Modifier None Typical Low $691.83 Median $2,454.71 Typical High $3,801.89 | Facility | None | $691.83 | $2,454.71 | $3,801.89 |
BCBS New Mexico Setting Professional Modifier None Typical Low $239.88 Median $398.11 Typical High $676.08 | Professional | None | $239.88 | $398.11 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $2,630.27 Typical High $3,715.35 | Facility | None | $776.25 | $2,630.27 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $416.87 Typical High $676.08 | Professional | None | $257.04 | $416.87 | $676.08 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $112.20 Typical High $562.34 | Professional | None | $33.11 | $112.20 | $562.34 |
Providence Setting Facility Modifier None Typical Low $436.52 Median $1,513.56 Typical High $3,890.45 | Facility | None | $436.52 | $1,513.56 | $3,890.45 |
Providence Setting Professional Modifier None Typical Low $257.04 Median $416.87 Typical High $691.83 | Professional | None | $257.04 | $416.87 | $691.83 |
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 $371.54 Median $524.81 Typical High $758.58 | Professional | None | $371.54 | $524.81 | $758.58 |
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 $141.25 Median $173.78 Typical High $239.88 | Professional | 52 · Reduced service | $141.25 | $173.78 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $69.18 Typical High $95.50 | Professional | 53 · Discontinued | $56.23 | $69.18 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $263.03 Typical High $354.81 | Professional | 54 · Surgery only | $208.93 | $263.03 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $52.48 Typical High $72.44 | Professional | 55 · Aftercare only | $41.69 | $52.48 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $34.67 Typical High $47.86 | Professional | 56 · Pre-op care only | $28.18 | $34.67 | $47.86 |
Where New Mexico sits
The same service costs 3.9 times more in Alaska than in New York. 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· 30th of 51
$468
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.