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 $38.90 Median $81.28 Typical High $194.98 | Facility | None | $38.90 | $81.28 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $74.13 Typical High $114.82 | Professional | None | $40.74 | $74.13 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $30.20 Typical High $40.74 | Professional | 52 · Reduced service | $20.42 | $30.20 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $13.18 Typical High $16.22 | Professional | 53 · Discontinued | $8.13 | $13.18 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $9.77 Typical High $12.02 | Professional | 55 · Aftercare only | $6.17 | $9.77 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.61 Typical High $8.13 | Professional | 56 · Pre-op care only | $4.07 | $6.61 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $89.13 Typical High $131.83 | Facility | None | $58.88 | $89.13 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $128.82 | Professional | None | $54.95 | $83.18 | $128.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $407.38 Median $537.03 Typical High $831.76 | Facility | None | $407.38 | $537.03 | $831.76 |
Highmark BCBS Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
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 $37.15 Median $67.61 Typical High $102.33 | Professional | None | $37.15 | $67.61 | $102.33 |
Where Delaware sits
The same service costs 3.8 times more in Alaska than in Virginia. 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· 37th of 51
$79.43
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.