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 $37.15 Median $54.95 Typical High $107.15 | Facility | None | $37.15 | $54.95 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $42.66 | Professional | None | $37.15 | $37.15 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $21.38 | Professional | 52 · Reduced service | $18.62 | $18.62 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $8.51 | Professional | 53 · Discontinued | $7.41 | $7.41 | $8.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $5.50 Typical High $6.46 | Professional | 55 · Aftercare only | $5.50 | $5.50 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $3.72 Typical High $4.27 | Professional | 56 · Pre-op care only | $3.72 | $3.72 | $4.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $47.86 Typical High $67.61 | Facility | None | $45.71 | $47.86 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $239.88 | Professional | None | $45.71 | $45.71 | $239.88 |
Emblem Health Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $75.86 | Facility | None | $47.86 | $47.86 | $75.86 |
Emblem Health Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $47.86 | Professional | None | $39.81 | $47.86 | $47.86 |
Where New York sits
The same service costs 17.8 times more in Alabama than in North Dakota. 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· 41st of 51
$44.67
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.