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 $0.71 Median $0.81 Typical High $0.87 | Facility | None | $0.71 | $0.81 | $0.87 |
Aetna Setting Professional Modifier None Typical Low $0.71 Median $0.71 Typical High $0.81 | Professional | None | $0.71 | $0.71 | $0.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.35 Median $0.35 Typical High $0.41 | Professional | 52 · Reduced service | $0.35 | $0.35 | $0.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.14 Median $0.14 Typical High $0.16 | Professional | 53 · Discontinued | $0.14 | $0.14 | $0.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.11 Median $0.11 Typical High $0.12 | Professional | 55 · Aftercare only | $0.11 | $0.11 | $0.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.07 Median $0.07 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.07 | $0.07 | $0.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
MVP Health Care Setting Facility Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Facility | None | $1.86 | $1.86 | $1.86 |
United Setting Facility Modifier None Typical Low $109.65 Median $128.82 Typical High $158.49 | Facility | None | $109.65 | $128.82 | $158.49 |
United Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Where New York sits
The same service costs 173.8 times more in Missouri than in Illinois. 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· 44th of 51
$0.85
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.