How much rates vary
Facilitymedian $245 · 10th to 90th $87 to $1,698Professionalmedian $195 · 10th to 90th $112 to $288
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 $112.20 Median $194.98 Typical High $7,244.36 | Facility | None | $112.20 | $194.98 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $213.80 | Professional | None | $112.20 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $85.11 Typical High $107.15 | Professional | 52 · Reduced service | $56.23 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $33.88 Typical High $42.66 | Professional | 53 · Discontinued | $22.39 | $33.88 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $125.89 Typical High $158.49 | Professional | 54 · Surgery only | $83.18 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $25.12 Typical High $31.62 | Professional | 55 · Aftercare only | $16.60 | $25.12 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $16.98 Typical High $21.38 | Professional | 56 · Pre-op care only | $11.22 | $16.98 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $1,288.25 | Facility | None | $239.88 | $363.08 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $213.80 Typical High $302.00 | Professional | None | $138.04 | $213.80 | $302.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
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 $109.65 Median $190.55 Typical High $331.13 | Professional | None | $109.65 | $190.55 | $331.13 |
Where Delaware sits
The same service costs 7.2 times more in New York than in Michigan. 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
NY $2,740MI $382
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.