How much rates vary
Facilitymedian $8 · 10th to 90th $4 to $14Professionalmedian $3 · 10th to 90th $2 to $4
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 $4.17 Median $4.17 Typical High $4.17 | Facility | None | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.07 Typical High $4.17 | Professional | None | $3.72 | $4.07 | $4.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.86 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $1.86 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.81 Typical High $0.83 | Professional | 53 · Discontinued | $0.76 | $0.81 | $0.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.82 Median $3.02 Typical High $3.09 | Professional | 54 · Surgery only | $2.82 | $3.02 | $3.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.62 Typical High $0.62 | Professional | 55 · Aftercare only | $0.56 | $0.62 | $0.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.40 Typical High $0.41 | Professional | 56 · Pre-op care only | $0.37 | $0.40 | $0.41 |
BCBS New Mexico Setting Professional Modifier None Typical Low $3.39 Median $4.57 Typical High $4.57 | Professional | None | $3.39 | $4.57 | $4.57 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
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 $7.59 Median $7.59 Typical High $14.13 | Facility | None | $7.59 | $7.59 | $14.13 |
Providence Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $6.31 | Professional | None | $2.34 | $2.34 | $6.31 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $4.07 | Professional | None | $2.40 | $2.40 | $4.07 |
Where New Mexico sits
The same service costs 3.0 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· 46th of 51
$2.63
RI $6.76NY $2.29
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.