How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,148 to $7,943Professionalmedian $813 · 10th to 90th $158 to $1,413
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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,023.29 Typical High $1,148.15 | Professional | None (both parts) | $724.44 | $1,023.29 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $218.78 Typical High $223.87 | Professional | 26 · Professional part | $147.91 | $218.78 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $812.83 Typical High $933.25 | Professional | TC · Technical part | $575.44 | $812.83 | $933.25 |
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 $123.03 Median $173.78 Typical High $389.05 | Professional | None (both parts) | $123.03 | $173.78 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,096.48 Typical High $1,621.81 | Professional | None (both parts) | $870.96 | $1,096.48 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $223.87 Typical High $338.84 | Professional | 26 · Professional part | $177.83 | $223.87 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $870.96 Typical High $1,258.93 | Professional | TC · Technical part | $691.83 | $870.96 | $1,258.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $33.11 | $245.47 | $309.03 |
Providence Setting Facility Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,202.26 | Facility | None | $1,000.00 | $1,148.15 | $1,202.26 |
Providence Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,174.90 Typical High $1,621.81 | Professional | None (both parts) | $933.25 | $1,174.90 | $1,621.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $245.47 Typical High $331.13 | Professional | 26 · Professional part | $186.21 | $245.47 | $331.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $933.25 Typical High $1,230.27 | Professional | TC · Technical part | $741.31 | $933.25 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $512.86 Median $891.25 Typical High $1,862.09 | Professional | None (both parts) | $512.86 | $891.25 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $263.03 Typical High $389.05 | Professional | 26 · Professional part | $173.78 | $263.03 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $707.95 Typical High $1,513.56 | Professional | TC · Technical part | $316.23 | $707.95 | $1,513.56 |
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 $363.08 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $363.08 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $144.54 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $109.65 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $72.44 | $102.33 | $102.33 |
Where New Mexico sits
The same service costs 9.1 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
$933
AK $2,188KY $240
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.