How much rates vary
Facilitymedian $20 · 10th to 90th $19 to $27Professionalmedian $16 · 10th to 90th $9 to $22
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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $21.88 Typical High $21.88 | Professional | None | $12.02 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $6.17 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $4.37 Typical High $4.47 | Professional | 53 · Discontinued | $2.45 | $4.37 | $4.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $3.31 Typical High $3.31 | Professional | 55 · Aftercare only | $1.86 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $2.19 Typical High $2.19 | Professional | 56 · Pre-op care only | $1.23 | $2.19 | $2.19 |
BCBS New Mexico Setting Professional Modifier None Typical Low $15.85 Median $21.38 Typical High $21.38 | Professional | None | $15.85 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Providence Setting Facility Modifier None Typical Low $19.05 Median $19.50 Typical High $20.42 | Facility | None | $19.05 | $19.50 | $20.42 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $26.92 | Facility | None | $22.91 | $22.91 | $26.92 |
United Setting Professional Modifier None Typical Low $6.03 Median $10.00 Typical High $15.14 | Professional | None | $6.03 | $10.00 | $15.14 |
Where New Mexico sits
The same service costs 3.2 times more in Montana 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· 24th of 51
$15.85
MT $26.92NY $8.32
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.