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 $630.96 Median $4,897.79 Typical High $7,244.36 | Facility | None | $630.96 | $4,897.79 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $776.25 | Professional | None | $630.96 | $630.96 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $389.05 | Professional | 52 · Reduced service | $316.23 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $154.88 | Professional | 53 · Discontinued | $125.89 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $588.84 | Professional | 54 · Surgery only | $467.74 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $117.49 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,466.84 Typical High $7,943.28 | Facility | None | $676.08 | $4,466.84 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
Highmark BCBS Setting Facility Modifier None Typical Low $4,073.80 Median $4,677.35 Typical High $8,709.64 | Facility | None | $4,073.80 | $4,677.35 | $8,709.64 |
Highmark BCBS Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $2,398.83 Typical High $3,981.07 | Facility | None | $1,412.54 | $2,398.83 | $3,981.07 |
United Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $891.25 | Professional | None | $549.54 | $691.83 | $891.25 |
Where Delaware sits
The same service costs 5.1 times more in Texas than in Delaware. 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· 51st of 51
$776
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.