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 $63.10 Median $64.57 Typical High $91.20 | Facility | None | $63.10 | $64.57 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $89.13 | Professional | None | $63.10 | $75.86 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $35.48 Typical High $38.90 | Professional | 52 · Reduced service | $31.62 | $35.48 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $10.72 Typical High $11.48 | Professional | 55 · Aftercare only | $9.55 | $10.72 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $7.08 Typical High $7.76 | Professional | 56 · Pre-op care only | $6.31 | $7.08 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $102.33 | Professional | None | $67.61 | $81.28 | $102.33 |
Highmark BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $457.09 | Facility | None | $239.88 | $239.88 | $457.09 |
Highmark BCBS Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $100.00 | Professional | None | $83.18 | $97.72 | $100.00 |
United Setting Professional Modifier None Typical Low $57.54 Median $74.13 Typical High $102.33 | Professional | None | $57.54 | $74.13 | $102.33 |
Where Delaware sits
The same service costs 2.9 times more in Alaska 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.
Delaware· 47th of 51
$74.13
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.