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 $3.89 Median $3.89 Typical High $3.89 | Facility | None | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.80 Typical High $3.98 | Professional | None | $3.55 | $3.80 | $3.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.78 Median $1.91 Typical High $1.95 | Professional | 52 · Reduced service | $1.78 | $1.91 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.76 Typical High $0.78 | Professional | 53 · Discontinued | $0.71 | $0.76 | $0.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.63 Median $2.88 Typical High $2.95 | Professional | 54 · Surgery only | $2.63 | $2.88 | $2.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.56 Typical High $0.59 | Professional | 55 · Aftercare only | $0.52 | $0.56 | $0.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.38 Typical High $0.39 | Professional | 56 · Pre-op care only | $0.35 | $0.38 | $0.39 |
BCBS New Mexico Setting Professional Modifier None Typical Low $3.24 Median $4.27 Typical High $4.27 | Professional | None | $3.24 | $4.27 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $16.98 | Facility | None | $8.91 | $8.91 | $16.98 |
Providence Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $5.89 | Professional | None | $2.24 | $2.24 | $5.89 |
United Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $3.89 | Professional | None | $2.29 | $2.29 | $3.89 |
Where New Mexico sits
The same service costs 3.8 times more in Rhode Island than in New York. 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· 47th of 51
$2.51
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.