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 $42.66 Median $42.66 Typical High $45.71 | Facility | None | $42.66 | $42.66 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $42.66 Typical High $72.44 | Professional | None | $38.02 | $42.66 | $72.44 |
BCBS New Mexico Setting Facility Modifier None Typical Low $33.11 Median $114.82 Typical High $186.21 | Facility | None | $33.11 | $114.82 | $186.21 |
BCBS New Mexico Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | None | $20.89 | $20.89 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $186.21 | Facility | None | $93.33 | $93.33 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $47.86 | Professional | None | $22.39 | $22.39 | $47.86 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $186.21 | Facility | None | $93.33 | $93.33 | $186.21 |
Providence Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
2 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 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $10.96 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.27 Typical High $7.24 | Professional | 56 · Pre-op care only | $4.17 | $4.27 | $7.24 |
Where New Mexico sits
The same service costs 2.6 times more in Texas than in Connecticut. 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· 17th of 51
$54.95
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.