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 $2.45 Median $3.02 Typical High $7.08 | Facility | None | $2.45 | $3.02 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.88 | Professional | None | $2.45 | $2.45 | $2.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.23 Median $1.23 Typical High $1.45 | Professional | 52 · Reduced service | $1.23 | $1.23 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.49 Typical High $0.56 | Professional | 53 · Discontinued | $0.49 | $0.49 | $0.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.37 Median $0.37 Typical High $0.43 | Professional | 55 · Aftercare only | $0.37 | $0.37 | $0.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.25 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.25 | $0.25 | $0.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $3.39 | Professional | None | $0.02 | $0.02 | $3.39 |
Cigna Setting Facility Modifier None Typical Low $2.19 Median $2.29 Typical High $3.80 | Facility | None | $2.19 | $2.29 | $3.80 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
Emblem Health Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $5.75 | Facility | None | $3.55 | $3.55 | $5.75 |
Emblem Health Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.80 | Professional | None | $3.72 | $3.72 | $3.80 |
MVP Health Care Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
United Setting Professional Modifier None Typical Low $3.55 Median $3.63 Typical High $5.01 | Professional | None | $3.55 | $3.63 | $5.01 |
Univera Setting Facility Modifier None Typical Low $2.29 Median $3.02 Typical High $3.02 | Facility | None | $2.29 | $3.02 | $3.02 |
Univera Setting Professional Modifier None Typical Low $2.29 Median $3.02 Typical High $3.02 | Professional | None | $2.29 | $3.02 | $3.02 |
Where New York sits
The same service costs 1.6 times more in Idaho than in Ohio. 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· 11th of 51
$3.55
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.