How much rates vary
Facilitymedian $23 · 10th to 90th $12 to $45Professionalmedian $7 · 10th to 90th $7 to $12
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 $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $11.48 Typical High $11.75 | Professional | None | $10.72 | $11.48 | $11.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.75 Typical High $5.89 | Professional | 52 · Reduced service | $5.37 | $5.75 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.29 Typical High $2.34 | Professional | 53 · Discontinued | $2.14 | $2.29 | $2.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $7.94 Median $8.71 Typical High $8.91 | Professional | 54 · Surgery only | $7.94 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $1.74 Typical High $1.78 | Professional | 55 · Aftercare only | $1.58 | $1.74 | $1.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.15 Typical High $1.17 | Professional | 56 · Pre-op care only | $1.07 | $1.15 | $1.17 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $44.67 | Facility | None | $22.91 | $22.91 | $44.67 |
Providence Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $17.78 | Professional | None | $6.76 | $6.76 | $17.78 |
United Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $11.75 | Professional | None | $6.92 | $6.92 | $11.75 |
Where New Mexico sits
The same service costs 3.2 times more in Rhode Island than in New York. 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 Mexico· 46th of 51
$7.41
RI $21.38NY $6.61
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.