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 $467.74 Median $467.74 Typical High $7,244.36 | Facility | None | $467.74 | $467.74 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $1,047.13 | Professional | None | $467.74 | $467.74 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $467.74 | Professional | 54 · Surgery only | $354.81 | $354.81 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $93.33 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $61.66 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $331.13 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $331.13 | $331.13 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $794.33 Typical High $2,137.96 | Facility | None | $676.08 | $794.33 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $467.74 Typical High $691.83 | Professional | None | $446.68 | $467.74 | $691.83 |
United Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $4,265.80 | Facility | None | $275.42 | $446.68 | $4,265.80 |
United Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $630.96 | Professional | None | $363.08 | $426.58 | $630.96 |
Where Delaware sits
The same service costs 11.7 times more in New York than in North Carolina. 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· 44th of 51
$468
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.