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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $3,235.94 Typical High $3,235.94 | Professional | None | $2,570.40 | $3,235.94 | $3,235.94 |
BCBS New Mexico Setting Facility Modifier None Typical Low $2,630.27 Median $9,332.54 Typical High $14,454.40 | Facility | None | $2,630.27 | $9,332.54 | $14,454.40 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $5,128.61 | Facility | None | $2,570.40 | $2,570.40 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Molina Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $3,630.78 | Professional | None | $2,398.83 | $2,398.83 | $3,630.78 |
Providence Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $5,128.61 | Facility | None | $2,570.40 | $2,570.40 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
5 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 $1,258.93 Median $1,621.81 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,258.93 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $645.65 Typical High $645.65 | Professional | 53 · Discontinued | $512.86 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $2,398.83 Typical High $2,398.83 | Professional | 54 · Surgery only | $1,905.46 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $489.78 Typical High $489.78 | Professional | 55 · Aftercare only | $380.19 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $323.59 Typical High $323.59 | Professional | 56 · Pre-op care only | $257.04 | $323.59 | $323.59 |
Where New Mexico sits
Rates are fairly even across states for this service. 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· 35th of 51
$2,570
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.