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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $19.05 Typical High $23.44 | Professional | None | $18.62 | $19.05 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.55 Typical High $11.75 | Professional | 52 · Reduced service | $9.33 | $9.55 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.80 Typical High $4.68 | Professional | 53 · Discontinued | $3.72 | $3.80 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $2.88 Typical High $3.47 | Professional | 55 · Aftercare only | $2.75 | $2.88 | $3.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.91 Typical High $2.34 | Professional | 56 · Pre-op care only | $1.86 | $1.91 | $2.34 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $38.90 Typical High $39.81 | Professional | None | $18.20 | $38.90 | $39.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $575.44 | Facility | None | $562.34 | $562.34 | $575.44 |
United Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $50.12 | Professional | None | $24.55 | $28.84 | $50.12 |
Where Delaware sits
The same service costs 2.5 times more in Iowa than in Pennsylvania. 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· 45th of 51
$26.30
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.