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 $29.51 Median $1,047.13 Typical High $7,762.47 | Facility | None | $29.51 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $69.18 Typical High $154.88 | Professional | None | $29.51 | $69.18 | $154.88 |
BCBS New Mexico Setting Facility Modifier None Typical Low $269.15 Median $977.24 Typical High $1,479.11 | Facility | None | $269.15 | $977.24 | $1,479.11 |
BCBS New Mexico Setting Professional Modifier None Typical Low $37.15 Median $112.20 Typical High $151.36 | Professional | None | $37.15 | $112.20 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $154.88 Typical High $1,202.26 | Facility | None | $109.65 | $154.88 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $117.49 Typical High $199.53 | Professional | None | $33.88 | $117.49 | $199.53 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $95.50 Typical High $158.49 | Professional | None | $19.05 | $95.50 | $158.49 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $158.49 Typical High $1,288.25 | Facility | None | $114.82 | $158.49 | $1,288.25 |
Providence Setting Professional Modifier None Typical Low $33.88 Median $117.49 Typical High $199.53 | Professional | None | $33.88 | $117.49 | $199.53 |
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 $35.48 Median $107.15 Typical High $213.80 | Professional | None | $35.48 | $107.15 | $213.80 |
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 $22.39 Median $36.31 Typical High $117.49 | Professional | 54 · Surgery only | $22.39 | $36.31 | $117.49 |
Where New Mexico sits
The same service costs 5.1 times more in Iowa 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· 29th 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.