How much rates vary
Facilitymedian $44 · 10th to 90th $3 to $52Professionalmedian $4 · 10th to 90th $3 to $51
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 $4.68 Median $4.68 Typical High $6.76 | Facility | None | $4.68 | $4.68 | $6.76 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $6.76 Typical High $6.76 | Professional | None | $4.68 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.29 Median $3.39 Typical High $3.39 | Professional | 52 · Reduced service | $2.29 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $1.35 Typical High $1.35 | Professional | 53 · Discontinued | $0.93 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.71 Median $1.00 Typical High $1.00 | Professional | 55 · Aftercare only | $0.71 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.46 Median $0.68 Typical High $0.68 | Professional | 56 · Pre-op care only | $0.46 | $0.68 | $0.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.37 Median $380.19 Typical High $707.95 | Professional | None | $5.37 | $380.19 | $707.95 |
CDPHP Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $3.16 Typical High $26.30 | Facility | None | $3.16 | $3.16 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Emblem Health Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Excellus BCBS Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $2.24 Median $3.39 Typical High $7.76 | Professional | None | $2.24 | $3.39 | $7.76 |
Univera Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $52.48 | Facility | None | $51.29 | $51.29 | $52.48 |
Univera Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Where New York 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.
New York· 18th of 51
$4.68
OH $11.48HI $2.51
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.