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 $8.71 Median $13.49 Typical High $21.38 | Facility | None | $8.71 | $13.49 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $13.49 Typical High $13.49 | Professional | None | $8.71 | $13.49 | $13.49 |
BCBS New Mexico Setting Facility Modifier None Typical Low $24.55 Median $85.11 Typical High $138.04 | Facility | None | $24.55 | $85.11 | $138.04 |
BCBS New Mexico Setting Professional Modifier None Typical Low $8.32 Median $10.96 Typical High $13.49 | Professional | None | $8.32 | $10.96 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $18.62 Typical High $26.92 | Professional | None | $11.75 | $18.62 | $26.92 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $16.98 Typical High $70.79 | Professional | None | $16.60 | $16.98 | $70.79 |
Providence Setting Facility Modifier None Typical Low $14.79 Median $16.98 Typical High $18.62 | Facility | None | $14.79 | $16.98 | $18.62 |
Providence Setting Professional Modifier None Typical Low $11.48 Median $18.62 Typical High $26.92 | Professional | None | $11.48 | $18.62 | $26.92 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $12.02 Median $12.59 Typical High $19.95 | Professional | None | $12.02 | $12.59 | $19.95 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $6.61 Median $8.13 Typical High $9.77 | Professional | GP · Physical therapy plan | $6.61 | $8.13 | $9.77 |
Where New Mexico sits
The same service costs 2.4 times more in Alaska than in Missouri. 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· 23rd of 51
$13.49
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.