How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,000 to $8,913Professionalmedian $468 · 10th to 90th $186 to $1,202
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 $165.96 Median $1,380.38 Typical High $7,762.47 | Facility | None | $165.96 | $1,380.38 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $269.15 Typical High $1,348.96 | Professional | None | $165.96 | $269.15 | $1,348.96 |
BCBS New Mexico Setting Facility Modifier None Typical Low $1,819.70 Median $6,606.93 Typical High $10,232.93 | Facility | None | $1,819.70 | $6,606.93 | $10,232.93 |
BCBS New Mexico Setting Professional Modifier None Typical Low $186.21 Median $389.05 Typical High $1,023.29 | Professional | None | $186.21 | $389.05 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,479.11 Typical High $2,290.87 | Facility | None | $741.31 | $1,479.11 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $467.74 Typical High $1,174.90 | Professional | None | $194.98 | $467.74 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $229.09 Typical High $1,148.15 | Professional | None | $33.11 | $229.09 | $1,148.15 |
Providence Setting Facility Modifier None Typical Low $741.31 Median $1,513.56 Typical High $3,090.30 | Facility | None | $741.31 | $1,513.56 | $3,090.30 |
Providence Setting Professional Modifier None Typical Low $223.87 Median $467.74 Typical High $1,174.90 | Professional | None | $223.87 | $467.74 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $7,585.78 | Facility | None | $1,047.13 | $2,344.23 | $7,585.78 |
United Setting Professional Modifier None Typical Low $208.93 Median $549.54 Typical High $1,230.27 | Professional | None | $208.93 | $549.54 | $1,230.27 |
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 $123.03 Median $186.21 Typical High $1,023.29 | Professional | 54 · Surgery only | $123.03 | $186.21 | $1,023.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $173.78 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $114.82 | $173.78 | $954.99 |
Where New Mexico sits
The same service costs 3.5 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $4,667MT $1,347
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.