How much rates vary
Facilitymedian $12 · 10th to 90th $6 to $22Professionalmedian $4 · 10th to 90th $3 to $14
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 $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.75 Typical High $5.89 | Professional | None | $5.37 | $5.75 | $5.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.63 Median $2.88 Typical High $2.95 | Professional | 52 · Reduced service | $2.63 | $2.88 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.15 Typical High $1.17 | Professional | 53 · Discontinued | $1.07 | $1.15 | $1.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.98 Median $4.27 Typical High $4.37 | Professional | 54 · Surgery only | $3.98 | $4.27 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.79 Median $0.85 Typical High $0.87 | Professional | 55 · Aftercare only | $0.79 | $0.85 | $0.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.52 Median $0.56 Typical High $0.59 | Professional | 56 · Pre-op care only | $0.52 | $0.56 | $0.59 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Providence Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $22.39 | Facility | None | $11.75 | $11.75 | $22.39 |
Providence Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $8.91 | Professional | None | $3.39 | $3.39 | $8.91 |
United Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $5.89 | Professional | None | $3.47 | $3.47 | $5.89 |
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· 47th of 51
$3.72
RI $10.72NY $3.31
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.