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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $83.18 Typical High $177.83 | Professional | None | $81.28 | $83.18 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $41.69 Typical High $45.71 | Professional | 52 · Reduced service | $40.74 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $18.20 | Professional | 53 · Discontinued | $16.60 | $16.60 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.59 Typical High $13.80 | Professional | 55 · Aftercare only | $12.30 | $12.59 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.32 Typical High $9.12 | Professional | 56 · Pre-op care only | $8.13 | $8.32 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $144.54 | Professional | None | $81.28 | $100.00 | $144.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Highmark BCBS Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,047.13 | Professional | None | $977.24 | $977.24 | $1,047.13 |
United Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $190.55 | Professional | None | $69.18 | $93.33 | $190.55 |
Where Delaware sits
The same service costs 2.9 times more in Alaska than in Utah. 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· 28th of 51
$100
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.