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 $64.57 Median $1,047.13 Typical High $7,762.47 | Facility | None | $64.57 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $89.13 Typical High $120.23 | Professional | None | $69.18 | $89.13 | $120.23 |
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 $43.65 Median $81.28 Typical High $112.20 | Professional | None | $43.65 | $81.28 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $602.56 | Facility | None | $54.95 | $66.07 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $134.90 | Professional | None | $74.13 | $100.00 | $134.90 |
Molina Setting Professional Modifier None Typical Low $15.49 Median $77.62 Typical High $128.82 | Professional | None | $15.49 | $77.62 | $128.82 |
Providence Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $537.03 | Facility | None | $54.95 | $66.07 | $537.03 |
Providence Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $144.54 | Professional | None | $75.86 | $100.00 | $144.54 |
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 $74.13 Median $107.15 Typical High $151.36 | Professional | None | $74.13 | $107.15 | $151.36 |
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 $48.98 Median $67.61 Typical High $89.13 | Professional | 54 · Surgery only | $48.98 | $67.61 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $45.71 Median $63.10 Typical High $83.18 | Professional | 78 · Unplanned return to OR | $45.71 | $63.10 | $83.18 |
Where New Mexico sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$95.50
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.