How much rates vary
Facilitymedian $148 · 10th to 90th $81 to $1,698Professionalmedian $162 · 10th to 90th $81 to $269
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 $81.28 Median $151.36 Typical High $7,244.36 | Facility | None | $81.28 | $151.36 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $151.36 Typical High $213.80 | Professional | None | $81.28 | $151.36 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $69.18 Typical High $83.18 | Professional | 52 · Reduced service | $40.74 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $27.54 Typical High $33.11 | Professional | 53 · Discontinued | $16.22 | $27.54 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $104.71 Typical High $125.89 | Professional | 54 · Surgery only | $61.66 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $20.89 Typical High $25.12 | Professional | 55 · Aftercare only | $12.30 | $20.89 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $13.80 Typical High $16.60 | Professional | 56 · Pre-op care only | $8.13 | $13.80 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $147.91 Typical High $213.80 | Facility | None | $58.88 | $147.91 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $165.96 Typical High $245.47 | Professional | None | $112.20 | $165.96 | $245.47 |
Highmark BCBS Setting Facility Modifier None Typical Low $223.87 Median $676.08 Typical High $676.08 | Facility | None | $223.87 | $676.08 | $676.08 |
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 $81.28 Median $158.49 Typical High $281.84 | Professional | None | $81.28 | $158.49 | $281.84 |
Where Delaware sits
The same service costs 11.6 times more in Hawaii than in Maryland. 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.
Physician feeFacility fee
HI $3,027MD $261
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.