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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $22.39 Typical High $22.39 | Professional | None | $14.45 | $22.39 | $22.39 |
BCBS New Mexico Setting Facility Modifier None Typical Low $40.74 Median $141.25 Typical High $223.87 | Facility | None | $40.74 | $141.25 | $223.87 |
BCBS New Mexico Setting Professional Modifier None Typical Low $13.49 Median $17.78 Typical High $19.50 | Professional | None | $13.49 | $17.78 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $30.20 Typical High $43.65 | Professional | None | $19.05 | $30.20 | $43.65 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $27.54 Typical High $70.79 | Professional | None | $26.92 | $27.54 | $70.79 |
Providence Setting Facility Modifier None Typical Low $21.88 Median $26.92 Typical High $27.54 | Facility | None | $21.88 | $26.92 | $27.54 |
Providence Setting Professional Modifier None Typical Low $19.05 Median $30.20 Typical High $43.65 | Professional | None | $19.05 | $30.20 | $43.65 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
United Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $32.36 | Professional | None | $19.05 | $21.38 | $32.36 |
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 $15.85 Median $15.85 Typical High $15.85 | Professional | GP · Physical therapy plan | $15.85 | $15.85 | $15.85 |
Where New Mexico sits
The same service costs 3.0 times more in Alaska than in Delaware. 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· 28th of 51
$19.95
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.