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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $190.55 Typical High $194.98 | Professional | None | $114.82 | $190.55 | $194.98 |
BCBS New Mexico Setting Professional Modifier None Typical Low $158.49 Median $213.80 Typical High $251.19 | Professional | None | $158.49 | $213.80 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $398.11 | Professional | None | $263.03 | $263.03 | $398.11 |
Providence Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $208.93 | Facility | None | $190.55 | $208.93 | $208.93 |
Providence Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $288.40 | Professional | None | $134.90 | $134.90 | $288.40 |
United Setting Professional Modifier None Typical Low $104.71 Median $112.20 Typical High $169.82 | Professional | None | $104.71 | $112.20 | $169.82 |
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 A1 · Dressing, 1 wound Typical Low $204.17 Median $204.17 Typical High $269.15 | Professional | A1 · Dressing, 1 wound | $204.17 | $204.17 | $269.15 |
Where New Mexico sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 22nd of 51
$170
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.