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 $0.98 Median $0.98 Typical High $0.98 | Facility | None | $0.98 | $0.98 | $0.98 |
Aetna Setting Professional Modifier None Typical Low $0.76 Median $0.95 Typical High $0.98 | Professional | None | $0.76 | $0.95 | $0.98 |
BCBS New Mexico Setting Facility Modifier None Typical Low $2.00 Median $6.92 Typical High $10.96 | Facility | None | $2.00 | $6.92 | $10.96 |
BCBS New Mexico Setting Professional Modifier None Typical Low $0.79 Median $1.07 Typical High $1.26 | Professional | None | $0.79 | $1.07 | $1.26 |
Cigna Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | None | $0.68 | $0.68 | $0.68 |
Molina Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.45 | Professional | None | $1.32 | $1.32 | $1.45 |
Providence Setting Facility Modifier None Typical Low $0.95 Median $1.05 Typical High $1.05 | Facility | None | $0.95 | $1.05 | $1.05 |
Providence Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $1.45 | Professional | None | $0.68 | $0.68 | $1.45 |
United Setting Professional Modifier None Typical Low $0.52 Median $0.56 Typical High $0.85 | Professional | None | $0.52 | $0.56 | $0.85 |
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 $1.35 Median $1.35 Typical High $1.35 | Professional | A1 · Dressing, 1 wound | $1.35 | $1.35 | $1.35 |
Where New Mexico sits
The same service costs 2.9 times more in Hawaii than in Colorado. 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
$0.95
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.