How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $1,000.00 Median $2,089.30 Typical High $7,762.47 | Facility | None | $1,000.00 | $2,089.30 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $7,585.78 | Professional | None | $3,162.28 | $3,162.28 | $7,585.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,584.89 Median $1,584.89 Typical High $3,801.89 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $3,801.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $1,513.56 | Professional | 53 · Discontinued | $630.96 | $630.96 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $5,623.41 | Professional | 54 · Surgery only | $2,344.23 | $2,344.23 | $5,623.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $1,122.02 | Professional | 55 · Aftercare only | $467.74 | $467.74 | $1,122.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $316.23 Typical High $758.58 | Professional | 56 · Pre-op care only | $316.23 | $316.23 | $758.58 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $812.83 Typical High $812.83 | Professional | None | $165.96 | $812.83 | $812.83 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,412.54 Typical High $10,471.29 | Facility | None | $407.38 | $1,412.54 | $10,471.29 |
Where New Mexico sits
The same service costs 257.0 times more in Wisconsin than in Hawaii. 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.
New Mexico· 48th of 51
$813
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.