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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $53.70 Typical High $53.70 | Professional | None | $34.67 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $17.38 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $6.92 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $8.13 Typical High $8.13 | Professional | 55 · Aftercare only | $5.25 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $5.37 Typical High $5.37 | Professional | 56 · Pre-op care only | $3.47 | $5.37 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $120.23 | Facility | None | $52.48 | $52.48 | $120.23 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $371.54 Typical High $371.54 | Professional | None | $60.26 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Where Kansas sits
The same service costs 4.6 times more in New York than in North Carolina. 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.
Kansas· 37th of 51
$60.26
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.