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 $1,000.00 Median $3,311.31 Typical High $14,791.08 | Facility | None | $1,000.00 | $3,311.31 | $14,791.08 |
BCBS New Mexico Setting Facility Modifier None Typical Low $4,466.84 Median $15,848.93 Typical High $24,547.09 | Facility | None | $4,466.84 | $15,848.93 | $24,547.09 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $263.03 | $338.84 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $407.38 Typical High $549.54 | Professional | 26 · Professional part | $302.00 | $407.38 | $549.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $85.11 | Professional | None (both parts) | $60.26 | $60.26 | $85.11 |
Providence Setting Facility Modifier None Typical Low $125,892.54 Median $251,188.64 Typical High $251,188.64 | Facility | None | $125,892.54 | $251,188.64 | $251,188.64 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $407.38 Typical High $549.54 | Professional | 26 · Professional part | $338.84 | $407.38 | $549.54 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $4,786.30 Typical High $12,882.50 | Facility | None | $1,348.96 | $4,786.30 | $12,882.50 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $630.96 | Professional | None (both parts) | $302.00 | $436.52 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $436.52 Typical High $630.96 | Professional | 26 · Professional part | $302.00 | $436.52 | $630.96 |
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 $144.54 Median $181.97 Typical High $316.23 | Professional | 54 · Surgery only | $144.54 | $181.97 | $316.23 |
Where New Mexico sits
The same service costs 23.4 times more in Colorado 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· 14th of 51
$2,188
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.