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 $67.61 Median $67.61 Typical High $93.33 | Facility | None | $67.61 | $67.61 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $128.82 | Professional | None | $70.79 | $93.33 | $128.82 |
Ambetter Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $128.82 | Professional | None | $102.33 | $102.33 | $128.82 |
BCBS New Mexico Setting Facility Modifier None Typical Low $169.82 Median $616.60 Typical High $933.25 | Facility | None | $169.82 | $616.60 | $933.25 |
BCBS New Mexico Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $173.78 | Professional | None | $77.62 | $109.65 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $162.18 | Professional | None | $77.62 | $112.20 | $162.18 |
Molina Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $181.97 | Professional | None | $107.15 | $125.89 | $181.97 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $120.23 Typical High $134.90 | Facility | None | $67.61 | $120.23 | $134.90 |
Providence Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $169.82 | Professional | None | $77.62 | $112.20 | $169.82 |
United Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $186.21 | Professional | None | $91.20 | $128.82 | $186.21 |
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 52 · Reduced service Typical Low $34.67 Median $46.77 Typical High $64.57 | Professional | 52 · Reduced service | $34.67 | $46.77 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.13 Typical High $19.50 | Professional | 55 · Aftercare only | $10.47 | $14.13 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.33 Typical High $12.88 | Professional | 56 · Pre-op care only | $6.92 | $9.33 | $12.88 |
Where New Mexico sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 26th of 51
$112
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.