How much rates vary
Facilitymedian $5 · 10th to 90th $5 to $12Professionalmedian $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 Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $6.61 | Professional | None | $5.13 | $5.13 | $6.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.57 Typical High $2.82 | Professional | 52 · Reduced service | $2.04 | $2.57 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $1.02 Typical High $1.12 | Professional | 53 · Discontinued | $0.83 | $1.02 | $1.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.09 Median $3.89 Typical High $4.27 | Professional | 54 · Surgery only | $3.09 | $3.89 | $4.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.62 Median $0.78 Typical High $0.85 | Professional | 55 · Aftercare only | $0.62 | $0.78 | $0.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.41 Median $0.52 Typical High $0.56 | Professional | 56 · Pre-op care only | $0.41 | $0.52 | $0.56 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
United Setting Professional Modifier None Typical Low $3.72 Median $4.17 Typical High $6.31 | Professional | None | $3.72 | $4.17 | $6.31 |
Where Delaware sits
The same service costs 4.1 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· 42nd of 51
$4.37
RI $13.80NY $3.39
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.