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 $35.48 Median $37.15 Typical High $46.77 | Facility | None | $35.48 | $37.15 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $46.77 Typical High $46.77 | Professional | None | $23.99 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $12.02 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $4.79 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $6.92 Typical High $6.92 | Professional | 55 · Aftercare only | $3.55 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $4.68 Typical High $4.68 | Professional | 56 · Pre-op care only | $2.40 | $4.68 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $251.19 | Facility | None | $35.48 | $35.48 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $24.55 Typical High $38.02 | Professional | None | $19.95 | $24.55 | $38.02 |
United Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $47.86 | Professional | None | $19.05 | $22.39 | $47.86 |
Where Delaware 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.
Delaware· 2nd of 51
$46.77
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.