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 $0.28 Median $0.28 Typical High $0.39 | Facility | None | $0.28 | $0.28 | $0.39 |
Aetna Setting Professional Modifier None Typical Low $0.30 Median $0.30 Typical High $0.35 | Professional | None | $0.30 | $0.30 | $0.35 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.15 Median $0.15 Typical High $0.18 | Professional | 52 · Reduced service | $0.15 | $0.15 | $0.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.06 Typical High $0.07 | Professional | 53 · Discontinued | $0.06 | $0.06 | $0.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.34 Median $1.10 Typical High $50.12 | Professional | None | $0.34 | $1.10 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $0.36 Median $0.36 Typical High $0.76 | Professional | None | $0.36 | $0.36 | $0.76 |
Highmark BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
MVP Health Care Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $50.12 | Professional | None | $28.84 | $28.84 | $50.12 |
United Setting Facility Modifier None Typical Low $93.33 Median $109.65 Typical High $134.90 | Facility | None | $93.33 | $109.65 | $134.90 |
United Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $66.07 | Professional | None | $64.57 | $64.57 | $66.07 |
Univera Setting Facility Modifier None Typical Low $0.10 Median $0.10 Typical High $38.90 | Facility | None | $0.10 | $0.10 | $38.90 |
Univera Setting Professional Modifier None Typical Low $0.10 Median $22.91 Typical High $38.90 | Professional | None | $0.10 | $22.91 | $38.90 |
Where New York sits
The same service costs 645.7 times more in Oklahoma than in Florida. 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.
New York· 42nd of 51
$0.36
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.