How much rates vary
Facilitymedian $170 · 10th to 90th $87 to $2,138Professionalmedian $302 · 10th to 90th $269 to $363
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 $302.00 Median $6,025.60 Typical High $7,244.36 | Facility | None | $302.00 | $6,025.60 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $346.74 | Professional | None | $302.00 | $302.00 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $165.96 | Professional | 52 · Reduced service | $151.36 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | 53 · Discontinued | $60.26 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $229.09 Typical High $251.19 | Professional | 54 · Surgery only | $229.09 | $229.09 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $50.12 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $954.99 Typical High $2,290.87 | Facility | None | $416.87 | $954.99 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $407.38 | Professional | None | $288.40 | $302.00 | $407.38 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $1,584.89 |
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 $263.03 Median $302.00 Typical High $407.38 | Professional | None | $263.03 | $302.00 | $407.38 |
Where Delaware sits
The same service costs 10.0 times more in New York than in Delaware. 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 $4,696DE $472
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.