How much rates vary
Facilitymedian $151 · 10th to 90th $93 to $7,244Professionalmedian $162 · 10th to 90th $83 to $759
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 $93.33 Median $758.58 Typical High $7,244.36 | Facility | None | $93.33 | $758.58 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $758.58 | Professional | None | $91.20 | $125.89 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $63.10 Typical High $371.54 | Professional | 52 · Reduced service | $45.71 | $63.10 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $25.12 Typical High $151.36 | Professional | 53 · Discontinued | $18.20 | $25.12 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $95.50 Typical High $562.34 | Professional | 54 · Surgery only | $69.18 | $95.50 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $19.05 Typical High $112.20 | Professional | 55 · Aftercare only | $13.80 | $19.05 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $12.59 Typical High $75.86 | Professional | 56 · Pre-op care only | $9.12 | $12.59 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $169.82 Typical High $660.69 | Professional | None | $83.18 | $169.82 | $660.69 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $74.13 Median $151.36 Typical High $645.65 | Professional | None | $74.13 | $151.36 | $645.65 |
Where Delaware sits
The same service costs 9.5 times more in Washington than in Washington, DC. 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· 47th of 51
$162
WA $933DC $97.72
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.