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 $72.44 Median $177.83 Typical High $7,244.36 | Facility | None | $72.44 | $177.83 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $181.97 | Professional | None | $69.18 | $87.10 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $43.65 Typical High $89.13 | Professional | 52 · Reduced service | $34.67 | $43.65 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $35.48 | Professional | 53 · Discontinued | $13.80 | $17.38 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $64.57 Typical High $131.83 | Professional | 54 · Surgery only | $51.29 | $64.57 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $13.18 Typical High $26.92 | Professional | 55 · Aftercare only | $10.23 | $13.18 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $8.71 Typical High $17.78 | Professional | 56 · Pre-op care only | $6.92 | $8.71 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $125.89 Typical High $213.80 | Professional | None | $60.26 | $125.89 | $213.80 |
Highmark BCBS Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $58.88 Median $120.23 Typical High $194.98 | Professional | None | $58.88 | $120.23 | $194.98 |
Where Delaware sits
The same service costs 3.5 times more in Alaska than in Maryland. 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
$129
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.