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 $33.11 Median $1,047.13 Typical High $7,762.47 | Facility | None | $33.11 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $48.98 Typical High $66.07 | Professional | None | $38.02 | $48.98 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
BCBS New Mexico Setting Facility Modifier None Typical Low $257.04 Median $933.25 Typical High $1,412.54 | Facility | None | $257.04 | $933.25 | $1,412.54 |
BCBS New Mexico Setting Professional Modifier None Typical Low $26.30 Median $43.65 Typical High $66.07 | Professional | None | $26.30 | $43.65 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $602.56 | Facility | None | $26.92 | $32.36 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $77.62 | Professional | None | $38.90 | $54.95 | $77.62 |
Molina Setting Professional Modifier None Typical Low $8.51 Median $42.66 Typical High $107.15 | Professional | None | $8.51 | $42.66 | $107.15 |
Providence Setting Facility Modifier None Typical Low $27.54 Median $32.36 Typical High $537.03 | Facility | None | $27.54 | $32.36 | $537.03 |
Providence Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $81.28 | Professional | None | $38.90 | $54.95 | $81.28 |
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 $39.81 Median $58.88 Typical High $87.10 | Professional | None | $39.81 | $58.88 | $87.10 |
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 $24.55 Median $34.67 Typical High $50.12 | Professional | 54 · Surgery only | $24.55 | $34.67 | $50.12 |
Where New Mexico sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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· 31st of 51
$54.95
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.