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 $43.65 Median $177.83 Typical High $2,137.96 | Facility | None | $43.65 | $177.83 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $67.61 Typical High $114.82 | Professional | None | $28.84 | $67.61 | $114.82 |
BCBS New Mexico Setting Facility Modifier None Typical Low $154.88 Median $562.34 Typical High $851.14 | Facility | None | $154.88 | $562.34 | $851.14 |
BCBS New Mexico Setting Professional Modifier None Typical Low $25.70 Median $46.77 Typical High $91.20 | Professional | None | $25.70 | $46.77 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $54.95 Typical High $117.49 | Professional | None | $27.54 | $54.95 | $117.49 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $83.18 Typical High $138.04 | Professional | None | $33.11 | $83.18 | $138.04 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $67.61 | Facility | None | $50.12 | $64.57 | $67.61 |
Providence Setting Professional Modifier None Typical Low $33.88 Median $75.86 Typical High $134.90 | Professional | None | $33.88 | $75.86 | $134.90 |
United Setting Facility Modifier None Typical Low $199.53 Median $275.42 Typical High $1,318.26 | Facility | None | $199.53 | $275.42 | $1,318.26 |
United Setting Professional Modifier None Typical Low $24.55 Median $56.23 Typical High $100.00 | Professional | None | $24.55 | $56.23 | $100.00 |
3 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 $21.88 Median $32.36 Typical High $87.10 | Professional | 54 · Surgery only | $21.88 | $32.36 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $6.46 Typical High $17.38 | Professional | 55 · Aftercare only | $4.37 | $6.46 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $4.37 Typical High $11.48 | Professional | 56 · Pre-op care only | $2.88 | $4.37 | $11.48 |
Where New Mexico sits
The same service costs 2.8 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· 44th of 51
$63.10
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.