How much rates vary
Facilitymedian $3 · 10th to 90th $3 to $7Professionalmedian $3 · 10th to 90th $2 to $4
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 $3.31 Median $3.31 Typical High $3.31 | Facility | None | $3.31 | $3.31 | $3.31 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $3.31 Typical High $4.27 | Professional | None | $2.63 | $3.31 | $4.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.32 Median $1.66 Typical High $1.82 | Professional | 52 · Reduced service | $1.32 | $1.66 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.66 Typical High $0.72 | Professional | 53 · Discontinued | $0.52 | $0.66 | $0.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.00 Median $2.45 Typical High $2.75 | Professional | 54 · Surgery only | $2.00 | $2.45 | $2.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.40 Median $0.50 Typical High $0.55 | Professional | 55 · Aftercare only | $0.40 | $0.50 | $0.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.33 Typical High $0.36 | Professional | 56 · Pre-op care only | $0.26 | $0.33 | $0.36 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
United Setting Professional Modifier None Typical Low $2.34 Median $2.69 Typical High $4.07 | Professional | None | $2.34 | $2.69 | $4.07 |
Where Delaware sits
The same service costs 3.8 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.
Delaware· 43rd of 51
$2.69
RI $8.32NY $2.19
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.