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 $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $5.01 Typical High $5.01 | Professional | None | $2.45 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.23 Median $2.51 Typical High $2.51 | Professional | 52 · Reduced service | $1.23 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $1.00 Typical High $1.00 | Professional | 53 · Discontinued | $0.49 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.36 Median $0.76 Typical High $0.76 | Professional | 55 · Aftercare only | $0.36 | $0.76 | $0.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.24 Median $0.50 Typical High $0.50 | Professional | 56 · Pre-op care only | $0.24 | $0.50 | $0.50 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $4.27 Typical High $6.76 | Facility | None | $3.80 | $4.27 | $6.76 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Medica Setting Facility Modifier None Typical Low $2.34 Median $4.47 Typical High $8.32 | Facility | None | $2.34 | $4.47 | $8.32 |
Medica Setting Professional Modifier None Typical Low $1.86 Median $7.59 Typical High $28.18 | Professional | None | $1.86 | $7.59 | $28.18 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.69 Typical High $9.55 | Professional | None | $1.82 | $2.69 | $9.55 |
Where Kansas sits
The same service costs 4.6 times more in Ohio than in Hawaii. 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.
Kansas· 19th of 51
$4.47
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.