How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.27 Typical High $4.90 | Professional | None | $4.17 | $4.27 | $4.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.09 Median $2.14 Typical High $2.45 | Professional | 52 · Reduced service | $2.09 | $2.14 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.85 Typical High $0.98 | Professional | 53 · Discontinued | $0.83 | $0.85 | $0.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.63 Median $0.65 Typical High $0.72 | Professional | 55 · Aftercare only | $0.63 | $0.65 | $0.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.42 Median $0.43 Typical High $0.49 | Professional | 56 · Pre-op care only | $0.42 | $0.43 | $0.49 |
BCBS New Mexico Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $18.20 | Professional | None | $13.49 | $13.49 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Providence Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $29.51 | Professional | None | $13.49 | $13.49 | $29.51 |
United Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $19.95 | Professional | None | $12.02 | $12.02 | $19.95 |
Where New Mexico sits
The same service costs 6.9 times more in Montana than in Indiana. 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· 41st of 51
$12.02
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.