How much rates vary
Facilitymedian $170 · 10th to 90th $87 to $2,138Professionalmedian $204 · 10th to 90th $170 to $275
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 $169.82 Median $4,897.79 Typical High $7,244.36 | Facility | None | $169.82 | $4,897.79 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $245.47 | Professional | None | $169.82 | $169.82 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $123.03 | Professional | 52 · Reduced service | $85.11 | $85.11 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $48.98 | Professional | 53 · Discontinued | $33.88 | $33.88 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $128.82 Typical High $186.21 | Professional | 54 · Surgery only | $128.82 | $128.82 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $37.15 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $24.55 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $707.95 Typical High $2,290.87 | Facility | None | $269.15 | $707.95 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
United Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $1,698.24 | Facility | None | $83.18 | $114.82 | $1,698.24 |
United Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $295.12 | Professional | None | $181.97 | $213.80 | $295.12 |
Where Delaware sits
The same service costs 18.6 times more in Texas 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.
Delaware· 43rd of 51
$204
TX $1,047NY $56.23
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.