How much rates vary
Facilitymedian $8 · 10th to 90th $3 to $14Professionalmedian $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 $3.09 Median $3.09 Typical High $3.09 | Facility | None | $3.09 | $3.09 | $3.09 |
Aetna Setting Professional Modifier None Typical Low $2.75 Median $3.02 Typical High $3.09 | Professional | None | $2.75 | $3.02 | $3.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.38 Median $1.51 Typical High $1.55 | Professional | 52 · Reduced service | $1.38 | $1.51 | $1.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.60 Typical High $0.62 | Professional | 53 · Discontinued | $0.56 | $0.60 | $0.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.09 Median $2.24 Typical High $2.29 | Professional | 54 · Surgery only | $2.09 | $2.24 | $2.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.42 Median $0.45 Typical High $0.46 | Professional | 55 · Aftercare only | $0.42 | $0.45 | $0.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.30 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.28 | $0.30 | $0.31 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $14.13 | Facility | None | $7.59 | $7.59 | $14.13 |
Providence Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $4.68 | Professional | None | $1.78 | $1.78 | $4.68 |
United Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $3.09 | Professional | None | $1.78 | $1.78 | $3.09 |
Where New Mexico 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.
New Mexico· 46th of 51
$1.91
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.