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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $302.00 Typical High $323.59 | Professional | None | $245.47 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $147.91 Typical High $154.88 | Professional | 52 · Reduced service | $131.83 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $60.26 Typical High $61.66 | Professional | 53 · Discontinued | $53.70 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $44.67 Typical High $46.77 | Professional | 55 · Aftercare only | $39.81 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $30.20 Typical High $30.90 | Professional | 56 · Pre-op care only | $26.92 | $30.20 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $363.08 | Professional | None | $245.47 | $281.84 | $363.08 |
Highmark BCBS Setting Professional Modifier None Typical Low $331.13 Median $338.84 Typical High $354.81 | Professional | None | $331.13 | $338.84 | $354.81 |
United Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $302.00 | Professional | None | $181.97 | $208.93 | $302.00 |
Where Delaware sits
The same service costs 2.8 times more in Alaska than in New York. 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· 46th of 51
$257
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.