How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $4Professionalmedian $4 · 10th to 90th $0 to $6
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 $0.39 Median $0.58 Typical High $1.12 | Facility | None | $0.39 | $0.58 | $1.12 |
Aetna Setting Professional Modifier None Typical Low $0.39 Median $0.39 Typical High $0.48 | Professional | None | $0.39 | $0.39 | $0.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.20 Median $0.20 Typical High $0.24 | Professional | 52 · Reduced service | $0.20 | $0.20 | $0.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | 53 · Discontinued | $0.08 | $0.08 | $0.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.06 Typical High $0.07 | Professional | 55 · Aftercare only | $0.06 | $0.06 | $0.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.42 Median $5.75 Typical High $7.24 | Professional | None | $0.42 | $5.75 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $4.37 Typical High $6.31 | Facility | None | $3.98 | $4.37 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
Emblem Health Setting Facility Modifier None Typical Low $0.10 Median $0.10 Typical High $0.16 | Facility | None | $0.10 | $0.10 | $0.16 |
Emblem Health Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $20.89 | Professional | None | $19.05 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $1.86 Median $4.68 Typical High $5.01 | Professional | None | $1.86 | $4.68 | $5.01 |
Where New York sits
The same service costs 58.9 times more in Montana 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· 16th of 51
$3.98
MT $6.46HI $0.11
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.