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 $11.22 Median $109.65 Typical High $812.83 | Facility | None | $11.22 | $109.65 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $109.65 Typical High $109.65 | Professional | None | $11.22 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $5.62 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $2.24 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $1.66 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $1.12 | $10.96 | $10.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Professional | None | $0.02 | $0.02 | $0.03 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
United Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Where New York sits
The same service costs 190.5 times more in Colorado than in Virginia. 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· 31st of 51
$110
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.