How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,380 to $7,943Professionalmedian $1,072 · 10th to 90th $182 to $1,905
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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,174.90 Typical High $1,348.96 | Professional | None (both parts) | $831.76 | $1,174.90 | $1,348.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $245.47 Typical High $257.04 | Professional | 26 · Professional part | $169.82 | $245.47 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $933.25 Typical High $1,071.52 | Professional | TC · Technical part | $660.69 | $933.25 | $1,071.52 |
BCBS New Mexico Setting Facility Modifier None Typical Low $1,445.44 Median $5,128.61 Typical High $7,943.28 | Facility | None | $1,445.44 | $5,128.61 | $7,943.28 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $141.25 Median $199.53 Typical High $446.68 | Professional | None (both parts) | $141.25 | $199.53 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,258.93 Typical High $1,862.09 | Professional | None (both parts) | $1,000.00 | $1,258.93 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $257.04 Typical High $389.05 | Professional | 26 · Professional part | $204.17 | $257.04 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,000.00 Typical High $1,445.44 | Professional | TC · Technical part | $794.33 | $1,000.00 | $1,445.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $33.11 | $281.84 | $371.54 |
Providence Setting Facility Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $1,445.44 | Facility | None | $1,174.90 | $1,380.38 | $1,445.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,348.96 Typical High $1,862.09 | Professional | None (both parts) | $1,071.52 | $1,348.96 | $1,862.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $288.40 Typical High $371.54 | Professional | 26 · Professional part | $213.80 | $288.40 | $371.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,071.52 Typical High $1,412.54 | Professional | TC · Technical part | $851.14 | $1,071.52 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $3,715.35 | Facility | None | $1,698.24 | $1,698.24 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,659.59 Typical High $3,311.31 | Professional | None (both parts) | $630.96 | $1,659.59 | $3,311.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $295.12 Typical High $446.68 | Professional | 26 · Professional part | $208.93 | $295.12 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $1,412.54 Typical High $2,884.03 | Professional | TC · Technical part | $380.19 | $1,412.54 | $2,884.03 |
4 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 52 · Reduced service Typical Low $416.87 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $416.87 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $165.96 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $123.03 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $83.18 | $117.49 | $117.49 |
Where New Mexico sits
The same service costs 11.2 times more in Alaska 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· 27th of 51
$1,148
AK $3,020KY $269
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.