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 $51.29 Median $316.23 Typical High $831.76 | Facility | None | $51.29 | $316.23 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $316.23 | Professional | None | $208.93 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $109.65 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $43.65 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $33.11 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $21.88 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $891.25 | Facility | None | $478.63 | $831.76 | $891.25 |
Where Delaware sits
The same service costs 5.2 times more in Alaska than in Georgia. 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· 36th of 51
$158
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.