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 $58.88 Median $1,047.13 Typical High $7,762.47 | Facility | None | $58.88 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $128.82 | Professional | None | $61.66 | $89.13 | $128.82 |
BCBS New Mexico Setting Facility Modifier None Typical Low $257.04 Median $954.99 Typical High $44,668.36 | Facility | None | $257.04 | $954.99 | $44,668.36 |
BCBS New Mexico Setting Professional Modifier None Typical Low $50.12 Median $83.18 Typical High $114.82 | Professional | None | $50.12 | $83.18 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $870.96 Typical High $1,288.25 | Facility | None | $537.03 | $870.96 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $107.15 Typical High $151.36 | Professional | None | $72.44 | $107.15 | $151.36 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $83.18 Typical High $138.04 | Professional | None | $16.60 | $83.18 | $138.04 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $870.96 Typical High $1,288.25 | Facility | None | $537.03 | $870.96 | $1,288.25 |
Providence Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $162.18 | Professional | None | $72.44 | $109.65 | $162.18 |
United Setting Facility Modifier None Typical Low $199.53 Median $245.47 Typical High $1,318.26 | Facility | None | $199.53 | $245.47 | $1,318.26 |
United Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $173.78 | Professional | None | $69.18 | $104.71 | $173.78 |
2 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 54 · Surgery only Typical Low $43.65 Median $61.66 Typical High $95.50 | Professional | 54 · Surgery only | $43.65 | $61.66 | $95.50 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 50 · Both sides | $75.86 | $75.86 | $75.86 |
Where New Mexico sits
The same service costs 3.6 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· 23rd 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.