How much rates vary
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 $22.39 Median $28.84 Typical High $46.77 | Professional | None | $22.39 | $28.84 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $14.13 Typical High $23.44 | Professional | 52 · Reduced service | $11.22 | $14.13 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.75 Typical High $9.33 | Professional | 53 · Discontinued | $4.47 | $5.75 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $4.27 Typical High $6.92 | Professional | 55 · Aftercare only | $3.39 | $4.27 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.82 Typical High $4.68 | Professional | 56 · Pre-op care only | $2.24 | $2.82 | $4.68 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $43.65 | Professional | None | $20.89 | $28.18 | $43.65 |
United Setting Professional Modifier None Typical Low $30.90 Median $45.71 Typical High $45.71 | Professional | None | $30.90 | $45.71 | $45.71 |
Where Hawaii 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.
Hawaii· 12th of 51
$35.48
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.