How much rates vary
Facilitymedian $151 · 10th to 90th $83 to $891Professionalmedian $178 · 10th to 90th $117 to $257
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 $134.90 Median $134.90 Typical High $218.78 | Facility | None | $134.90 | $134.90 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $218.78 | Professional | None | $134.90 | $158.49 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $75.86 Typical High $109.65 | Professional | 52 · Reduced service | $67.61 | $75.86 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $30.20 Typical High $44.67 | Professional | 53 · Discontinued | $26.92 | $30.20 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $22.91 Typical High $33.11 | Professional | 55 · Aftercare only | $20.42 | $22.91 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $15.14 Typical High $21.88 | Professional | 56 · Pre-op care only | $13.49 | $15.14 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $208.93 Typical High $302.00 | Facility | None | $58.88 | $208.93 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $186.21 Typical High $302.00 | Professional | None | $125.89 | $186.21 | $302.00 |
Highmark BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
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 $112.20 Median $165.96 Typical High $269.15 | Professional | None | $112.20 | $165.96 | $269.15 |
Where Delaware sits
The same service costs 8.0 times more in New York 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
NY $2,495MD $313
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.