How much rates vary
Facilitymedian $9 · 10th to 90th $9 to $21Professionalmedian $8 · 10th to 90th $6 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 $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $13.80 | Professional | None | $9.33 | $9.33 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $4.68 Typical High $5.13 | Professional | 52 · Reduced service | $3.72 | $4.68 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.86 Typical High $2.04 | Professional | 53 · Discontinued | $1.48 | $1.86 | $2.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.62 Median $6.92 Typical High $7.76 | Professional | 54 · Surgery only | $5.62 | $6.92 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.41 Typical High $1.55 | Professional | 55 · Aftercare only | $1.12 | $1.41 | $1.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $0.93 Typical High $1.02 | Professional | 56 · Pre-op care only | $0.76 | $0.93 | $1.02 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
United Setting Professional Modifier None Typical Low $6.61 Median $7.59 Typical High $11.48 | Professional | None | $6.61 | $7.59 | $11.48 |
Where Delaware sits
The same service costs 4.5 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
$8.13
RI $27.54NY $6.17
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.