How much rates vary
Facilitymedian $380 · 10th to 90th $166 to $1,905Professionalmedian $135 · 10th to 90th $83 to $195
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 $100.00 Median $194.98 Typical High $7,244.36 | Facility | None | $100.00 | $194.98 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $194.98 | Professional | None | $100.00 | $131.83 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $56.23 Typical High $97.72 | Professional | 52 · Reduced service | $48.98 | $56.23 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $22.39 Typical High $38.90 | Professional | 53 · Discontinued | $19.95 | $22.39 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $85.11 Typical High $144.54 | Professional | 54 · Surgery only | $74.13 | $85.11 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $16.98 Typical High $29.51 | Professional | 55 · Aftercare only | $14.79 | $16.98 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $11.22 Typical High $19.50 | Professional | 56 · Pre-op care only | $10.00 | $11.22 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $213.80 Typical High $1,905.46 | Facility | None | $141.25 | $213.80 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $147.91 Typical High $165.96 | Professional | None | $83.18 | $147.91 | $165.96 |
United Setting Facility Modifier None Typical Low $229.09 Median $398.11 Typical High $1,698.24 | Facility | None | $229.09 | $398.11 | $1,698.24 |
United Setting Professional Modifier None Typical Low $79.43 Median $128.82 Typical High $204.17 | Professional | None | $79.43 | $128.82 | $204.17 |
Where Delaware sits
The same service costs 10.2 times more in Colorado than in Montana. 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
CO $3,957MT $388
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.