How much rates vary
Facilitymedian $512,861 · 10th to 90th $512,861 to $512,861Professionalmedian $616,595 · 10th to 90th $512,861 to $645,654
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 $512,861.38 Median $512,861.38 Typical High $512,861.38 | Facility | None | $512,861.38 | $512,861.38 | $512,861.38 |
Aetna Setting Professional Modifier None Typical Low $512,861.38 Median $645,654.23 Typical High $645,654.23 | Professional | None | $512,861.38 | $645,654.23 | $645,654.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $323,593.66 Typical High $323,593.66 | Professional | 52 · Reduced service | $257,039.58 | $323,593.66 | $323,593.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $128,824.96 Typical High $128,824.96 | Professional | 53 · Discontinued | $102,329.30 | $128,824.96 | $128,824.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $97,723.72 Typical High $97,723.72 | Professional | 55 · Aftercare only | $75,857.76 | $97,723.72 | $97,723.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $64,565.42 Typical High $64,565.42 | Professional | 56 · Pre-op care only | $51,286.14 | $64,565.42 | $64,565.42 |
Molina Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $1,047,128.55 | Professional | None | $5,011.87 | $5,011.87 | $1,047,128.55 |
Providence Setting Professional Modifier None Typical Low $616,595.00 Median $616,595.00 Typical High $851,138.04 | Professional | None | $616,595.00 | $616,595.00 | $851,138.04 |
United Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Facility | None | $512,861.38 | $512,861.38 | $512,861.38 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $537,031.80 | Professional | None | $489,778.82 | $489,778.82 | $537,031.80 |
Where New Mexico sits
The same service costs 2.0 times more in Texas than in New Jersey. 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· 4th of 51
$616,595
TX $1,000,000NJ $489,779
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.