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 $43.65 Median $1,047.13 Typical High $7,762.47 | Facility | None | $43.65 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $125.89 | Professional | None | $60.26 | $81.28 | $125.89 |
BCBS New Mexico Setting Facility Modifier None Typical Low $724.44 Median $2,630.27 Typical High $3,981.07 | Facility | None | $724.44 | $2,630.27 | $3,981.07 |
BCBS New Mexico Setting Professional Modifier None Typical Low $53.70 Median $95.50 Typical High $154.88 | Professional | None | $53.70 | $95.50 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $83.18 Typical High $1,202.26 | Facility | None | $60.26 | $83.18 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $134.90 Typical High $186.21 | Professional | None | $66.07 | $134.90 | $186.21 |
Molina Setting Professional Modifier None Typical Low $13.80 Median $69.18 Typical High $114.82 | Professional | None | $13.80 | $69.18 | $114.82 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $120.23 Typical High $1,288.25 | Facility | None | $63.10 | $120.23 | $1,288.25 |
Providence Setting Professional Modifier None Typical Low $66.07 Median $134.90 Typical High $190.55 | Professional | None | $66.07 | $134.90 | $190.55 |
United Setting Facility Modifier None Typical Low $199.53 Median $275.42 Typical High $1,348.96 | Facility | None | $199.53 | $275.42 | $1,348.96 |
United Setting Professional Modifier None Typical Low $56.23 Median $107.15 Typical High $169.82 | Professional | None | $56.23 | $107.15 | $169.82 |
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 $21.88 Median $39.81 Typical High $53.70 | Professional | 52 · Reduced service | $21.88 | $39.81 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $16.22 Typical High $21.38 | Professional | 53 · Discontinued | $8.71 | $16.22 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $32.36 Median $60.26 Typical High $81.28 | Professional | 54 · Surgery only | $32.36 | $60.26 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $12.02 Typical High $16.22 | Professional | 55 · Aftercare only | $6.46 | $12.02 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $7.94 Typical High $10.72 | Professional | 56 · Pre-op care only | $4.37 | $7.94 | $10.72 |
Where New Mexico sits
The same service costs 3.0 times more in Alaska than in Virginia. 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· 19th of 51
$107
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.