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 $43.65 Median $43.65 Typical High $56.23 | Facility | None | $43.65 | $43.65 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $63.10 | Professional | None | $43.65 | $53.70 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $24.55 Typical High $28.18 | Professional | 52 · Reduced service | $21.88 | $24.55 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $7.24 Typical High $8.51 | Professional | 55 · Aftercare only | $6.46 | $7.24 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.90 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.37 | $4.90 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $72.44 | Professional | None | $45.71 | $56.23 | $72.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $323.59 | Facility | None | $154.88 | $154.88 | $323.59 |
Highmark BCBS Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | None | $70.79 | $70.79 | $72.44 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $72.44 | Professional | None | $39.81 | $52.48 | $72.44 |
Where Delaware sits
The same service costs 2.7 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· 41st of 51
$53.70
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.