How much rates vary
Facilitymedian $50 · 10th to 90th $50 to $50Professionalmedian $23 · 10th to 90th $21 to $29
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 Professional Modifier None Typical Low $21.38 Median $22.91 Typical High $23.99 | Professional | None | $21.38 | $22.91 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $11.48 Typical High $12.02 | Professional | 52 · Reduced service | $10.72 | $11.48 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.57 Typical High $4.79 | Professional | 53 · Discontinued | $4.27 | $4.57 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $3.39 Typical High $3.55 | Professional | 55 · Aftercare only | $3.24 | $3.39 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.29 Typical High $2.40 | Professional | 56 · Pre-op care only | $2.14 | $2.29 | $2.40 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
BCBS Alabama Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $25.12 Typical High $37.15 | Professional | None | $19.95 | $25.12 | $37.15 |
United Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $35.48 | Professional | None | $19.95 | $25.70 | $35.48 |
Where Alabama sits
The same service costs 2.8 times more in New York than in Georgia. 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.
Alabama· 42nd of 51
$22.91
NY $52.48GA $18.62
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.