How much rates vary
Facilitymedian $562,341 · 10th to 90th $562,341 to $562,341Professionalmedian $616,595 · 10th to 90th $562,341 to $707,946
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $562,341.33 Median $562,341.33 Typical High $562,341.33 | Facility | None | $562,341.33 | $562,341.33 | $562,341.33 |
Aetna Setting Professional Modifier None Typical Low $562,341.33 Median $707,945.78 Typical High $707,945.78 | Professional | None | $562,341.33 | $707,945.78 | $707,945.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281,838.29 Median $354,813.39 Typical High $354,813.39 | Professional | 52 · Reduced service | $281,838.29 | $354,813.39 | $354,813.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112,201.85 Median $141,253.75 Typical High $141,253.75 | Professional | 53 · Discontinued | $112,201.85 | $141,253.75 | $141,253.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85,113.80 Median $107,151.93 Typical High $107,151.93 | Professional | 55 · Aftercare only | $85,113.80 | $107,151.93 | $107,151.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56,234.13 Median $70,794.58 Typical High $70,794.58 | Professional | 56 · Pre-op care only | $56,234.13 | $70,794.58 | $70,794.58 |
Molina Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Providence Setting Professional Modifier None Typical Low $616,595.00 Median $616,595.00 Typical High $870,963.59 | Professional | None | $616,595.00 | $616,595.00 | $870,963.59 |
United Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Facility | None | $562,341.33 | $562,341.33 | $562,341.33 |
United Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $588,843.66 | Professional | None | $537,031.80 | $537,031.80 | $588,843.66 |
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· 8th of 51
$616,595
MS $676,083NJ $537,032
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.