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 $74.13 Median $114.82 Typical High $173.78 | Facility | None | $74.13 | $114.82 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $114.82 Typical High $114.82 | Professional | None | $69.18 | $114.82 | $114.82 |
BCBS New Mexico Setting Facility Modifier None Typical Low $75.86 Median $549.54 Typical High $1,148.15 | Facility | None | $75.86 | $549.54 | $1,148.15 |
BCBS New Mexico Setting Professional Modifier None Typical Low $69.18 Median $70.79 Typical High $93.33 | Professional | None | $69.18 | $70.79 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $125.89 | Professional | None | $60.26 | $87.10 | $125.89 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $141.25 Typical High $141.25 | Professional | None | $33.11 | $141.25 | $141.25 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $125.89 | Professional | None | $60.26 | $87.10 | $125.89 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $104.71 | Professional | None | $77.62 | $87.10 | $104.71 |
2 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 $31.62 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $31.62 | $57.54 | $57.54 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $53.70 Median $79.43 Typical High $95.50 | Professional | GP · Physical therapy plan | $53.70 | $79.43 | $95.50 |
Where New Mexico sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 21st of 51
$87.10
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.