How much rates vary
Facilitymedian $68 · 10th to 90th $63 to $107Professionalmedian $59 · 10th to 90th $36 to $72
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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $75.86 | Professional | None | $51.29 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $36.31 Typical High $38.02 | Professional | 52 · Reduced service | $25.70 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $14.45 Typical High $15.14 | Professional | 53 · Discontinued | $10.23 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $10.96 Typical High $11.22 | Professional | 55 · Aftercare only | $7.76 | $10.96 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $7.24 Typical High $7.59 | Professional | 56 · Pre-op care only | $5.13 | $7.24 | $7.59 |
BCBS New Mexico Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $70.79 | Professional | None | $52.48 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
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 $63.10 Median $64.57 Typical High $67.61 | Facility | None | $63.10 | $64.57 | $67.61 |
Providence Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $107.15 | Facility | None | $91.20 | $91.20 | $107.15 |
United Setting Professional Modifier None Typical Low $19.05 Median $38.90 Typical High $58.88 | Professional | None | $19.05 | $38.90 | $58.88 |
Where New Mexico sits
The same service costs 2.8 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
$58.88
MT $100NY $35.48
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.