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 $4.17 Median $6.46 Typical High $10.72 | Facility | None | $4.17 | $6.46 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $6.46 Typical High $7.76 | Professional | None | $4.17 | $6.46 | $7.76 |
BCBS New Mexico Setting Facility Modifier None Typical Low $12.02 Median $40.74 Typical High $66.07 | Facility | None | $12.02 | $40.74 | $66.07 |
BCBS New Mexico Setting Professional Modifier None Typical Low $3.98 Median $5.25 Typical High $6.03 | Professional | None | $3.98 | $5.25 | $6.03 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $10.00 Typical High $14.79 | Professional | None | $5.89 | $10.00 | $14.79 |
Molina Setting Professional Modifier None Typical Low $7.94 Median $8.13 Typical High $70.79 | Professional | None | $7.94 | $8.13 | $70.79 |
Providence Setting Facility Modifier None Typical Low $6.92 Median $8.32 Typical High $8.91 | Facility | None | $6.92 | $8.32 | $8.91 |
Providence Setting Professional Modifier None Typical Low $5.89 Median $10.00 Typical High $14.79 | Professional | None | $5.89 | $10.00 | $14.79 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
United Setting Professional Modifier None Typical Low $6.03 Median $6.17 Typical High $11.22 | Professional | None | $6.03 | $6.17 | $11.22 |
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 $3.24 Median $4.90 Typical High $5.75 | Professional | GP · Physical therapy plan | $3.24 | $4.90 | $5.75 |
Where New Mexico sits
The same service costs 2.6 times more in North Dakota 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· 33rd of 51
$6.03
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.