How much rates vary
Facilitymedian $11 · 10th to 90th $11 to $11Professionalmedian $4 · 10th to 90th $3 to $7
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 Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $5.01 | Professional | None | $4.47 | $4.47 | $5.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.24 Median $2.24 Typical High $2.45 | Professional | 52 · Reduced service | $2.24 | $2.24 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.89 Typical High $1.00 | Professional | 53 · Discontinued | $0.89 | $0.89 | $1.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.39 Median $3.39 Typical High $3.72 | Professional | 54 · Surgery only | $3.39 | $3.39 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.68 Median $0.68 Typical High $0.74 | Professional | 55 · Aftercare only | $0.68 | $0.68 | $0.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.45 Median $0.45 Typical High $0.50 | Professional | 56 · Pre-op care only | $0.45 | $0.45 | $0.50 |
CareSource Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
United Setting Professional Modifier None Typical Low $3.80 Median $4.07 Typical High $8.71 | Professional | None | $3.80 | $4.07 | $8.71 |
Where West Virginia 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.
West Virginia· 44th of 51
$4.07
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.