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 $46.77 Median $46.77 Typical High $95.50 | Facility | None | $46.77 | $46.77 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $158.49 | Professional | None | $57.54 | $85.11 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $42.66 Typical High $79.43 | Professional | 52 · Reduced service | $28.84 | $42.66 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $16.98 Typical High $31.62 | Professional | 53 · Discontinued | $11.48 | $16.98 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $12.59 Typical High $23.99 | Professional | 55 · Aftercare only | $8.71 | $12.59 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $8.51 Typical High $15.85 | Professional | 56 · Pre-op care only | $5.75 | $8.51 | $15.85 |
BCBS New Mexico Setting Facility Modifier None Typical Low $151.36 Median $524.81 Typical High $831.76 | Facility | None | $151.36 | $524.81 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $89.13 Typical High $125.89 | Professional | None | $50.12 | $89.13 | $125.89 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Facility Modifier None Typical Low $72.44 Median $120.23 Typical High $128.82 | Facility | None | $72.44 | $120.23 | $128.82 |
Providence Setting Professional Modifier None Typical Low $50.12 Median $89.13 Typical High $125.89 | Professional | None | $50.12 | $89.13 | $125.89 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $575.44 | Facility | None | $263.03 | $263.03 | $575.44 |
United Setting Professional Modifier None Typical Low $46.77 Median $89.13 Typical High $158.49 | Professional | None | $46.77 | $89.13 | $158.49 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where New Mexico sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 30th of 51
$89.13
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.