How much rates vary
Facilitymedian $3 · 10th to 90th $3 to $6Professionalmedian $2 · 10th to 90th $2 to $3
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 $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
Aetna Setting Professional Modifier None Typical Low $2.09 Median $2.57 Typical High $2.88 | Professional | None | $2.09 | $2.57 | $2.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.05 Median $1.29 Typical High $1.45 | Professional | 52 · Reduced service | $1.05 | $1.29 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.42 Median $0.52 Typical High $0.56 | Professional | 53 · Discontinued | $0.42 | $0.52 | $0.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.55 Median $1.95 Typical High $2.14 | Professional | 54 · Surgery only | $1.55 | $1.95 | $2.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.39 Typical High $0.43 | Professional | 55 · Aftercare only | $0.31 | $0.39 | $0.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.26 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.21 | $0.26 | $0.28 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.09 Typical High $3.24 | Professional | None | $1.86 | $2.09 | $3.24 |
Where Delaware sits
The same service costs 4.0 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
$2.09
RI $6.76NY $1.70
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.