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 $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $3,467.37 Typical High $3,981.07 | Professional | None | $3,388.44 | $3,467.37 | $3,981.07 |
BCBS New Mexico Setting Facility Modifier None Typical Low $1,479.11 Median $5,370.32 Typical High $8,128.31 | Facility | None | $1,479.11 | $5,370.32 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $7,079.46 | Facility | None | $3,548.13 | $3,548.13 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $60.26 | Professional | None | $50.12 | $60.26 | $60.26 |
Providence Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $7,079.46 | Facility | None | $3,548.13 | $4,168.69 | $7,079.46 |
Providence Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,890.45 | Professional | None | $3,467.37 | $3,467.37 | $3,890.45 |
4 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 $1,698.24 Median $1,737.80 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,698.24 | $1,737.80 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $691.83 Typical High $794.33 | Professional | 53 · Discontinued | $676.08 | $691.83 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $524.81 Typical High $602.56 | Professional | 55 · Aftercare only | $512.86 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $346.74 Typical High $398.11 | Professional | 56 · Pre-op care only | $338.84 | $346.74 | $398.11 |
Where New Mexico sits
The same service costs 1.6 times more in North Carolina than in Nebraska. 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· 27th of 51
$3,548
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.