How much rates vary
Facilitymedian $575,440 · 10th to 90th $575,440 to $575,440Professionalmedian $645,654 · 10th to 90th $575,440 to $741,310
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 $575,439.94 Median $575,439.94 Typical High $575,439.94 | Facility | None | $575,439.94 | $575,439.94 | $575,439.94 |
Aetna Setting Professional Modifier None Typical Low $575,439.94 Median $741,310.24 Typical High $741,310.24 | Professional | None | $575,439.94 | $741,310.24 | $741,310.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $371,535.23 Typical High $371,535.23 | Professional | 52 · Reduced service | $288,403.15 | $371,535.23 | $371,535.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $147,910.84 Typical High $147,910.84 | Professional | 53 · Discontinued | $114,815.36 | $147,910.84 | $147,910.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $109,647.82 Typical High $109,647.82 | Professional | 55 · Aftercare only | $87,096.36 | $109,647.82 | $109,647.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $74,131.02 Typical High $74,131.02 | Professional | 56 · Pre-op care only | $57,543.99 | $74,131.02 | $74,131.02 |
Molina Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $1,122,018.45 | Professional | None | $5,011.87 | $5,011.87 | $1,122,018.45 |
Providence Setting Professional Modifier None Typical Low $645,654.23 Median $645,654.23 Typical High $912,010.84 | Professional | None | $645,654.23 | $645,654.23 | $912,010.84 |
United Setting Facility Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Facility | None | $575,439.94 | $575,439.94 | $575,439.94 |
United Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $616,595.00 | Professional | None | $562,341.33 | $562,341.33 | $616,595.00 |
Where New Mexico sits
The same service costs 1.7 times more in Texas than in Minnesota. 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· 10th of 51
$645,654
TX $977,237MN $562,341
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.