How much rates vary
Facilitymedian $170 · 10th to 90th $87 to $1,698Professionalmedian $288 · 10th to 90th $186 to $603
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 $186.21 Median $407.38 Typical High $7,244.36 | Facility | None | $186.21 | $407.38 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $213.80 Typical High $407.38 | Professional | None | $186.21 | $213.80 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $107.15 Typical High $204.17 | Professional | 52 · Reduced service | $93.33 | $107.15 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $42.66 Typical High $81.28 | Professional | 53 · Discontinued | $37.15 | $42.66 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $162.18 Typical High $309.03 | Professional | 54 · Surgery only | $138.04 | $162.18 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $32.36 Typical High $61.66 | Professional | 55 · Aftercare only | $28.18 | $32.36 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $21.38 Typical High $40.74 | Professional | 56 · Pre-op care only | $18.62 | $21.38 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $707.95 Typical High $2,137.96 | Facility | None | $218.78 | $707.95 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
United Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $1,698.24 | Facility | None | $83.18 | $114.82 | $1,698.24 |
United Setting Professional Modifier None Typical Low $177.83 Median $398.11 Typical High $691.83 | Professional | None | $177.83 | $398.11 | $691.83 |
Where Delaware sits
The same service costs 2.8 times more in Wisconsin than in Utah. 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· 49th of 51
$288
WI $813UT $288
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.