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 $21.38 Median $21.38 Typical High $40.74 | Facility | None | $21.38 | $21.38 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $31.62 Typical High $38.90 | Professional | None | $20.89 | $31.62 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $13.80 Typical High $16.98 | Professional | 52 · Reduced service | $10.72 | $13.80 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $4.07 Typical High $5.13 | Professional | 55 · Aftercare only | $3.16 | $4.07 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.75 Typical High $3.47 | Professional | 56 · Pre-op care only | $2.14 | $2.75 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $31.62 Typical High $41.69 | Professional | None | $22.39 | $31.62 | $41.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $186.21 | Facility | None | $79.43 | $79.43 | $186.21 |
Highmark BCBS Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $43.65 | Professional | None | $37.15 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $19.50 Median $29.51 Typical High $42.66 | Professional | None | $19.50 | $29.51 | $42.66 |
Where Delaware sits
The same service costs 2.8 times more in Alaska 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· 43rd of 51
$30.90
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.