How much rates vary
Facilitymedian $20 · 10th to 90th $20 to $46Professionalmedian $17 · 10th to 90th $14 to $23
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 $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $20.42 Typical High $21.38 | Professional | None | $15.85 | $20.42 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $10.23 Typical High $11.22 | Professional | 52 · Reduced service | $8.13 | $10.23 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $4.07 Typical High $4.47 | Professional | 53 · Discontinued | $3.24 | $4.07 | $4.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12.30 Median $15.14 Typical High $16.98 | Professional | 54 · Surgery only | $12.30 | $15.14 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $3.02 Typical High $3.39 | Professional | 55 · Aftercare only | $2.45 | $3.02 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $2.04 Typical High $2.24 | Professional | 56 · Pre-op care only | $1.62 | $2.04 | $2.24 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $14.45 Median $16.60 Typical High $25.12 | Professional | None | $14.45 | $16.60 | $25.12 |
Where Delaware sits
The same service costs 2.6 times more in Hawaii 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· 42nd of 51
$16.60
HI $35.48NY $13.49
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.