How much rates vary
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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $31.62 | Professional | None | $22.91 | $28.84 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $14.45 Typical High $15.85 | Professional | 52 · Reduced service | $11.48 | $14.45 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.75 Typical High $6.31 | Professional | 53 · Discontinued | $4.68 | $5.75 | $6.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.38 Median $21.88 Typical High $23.99 | Professional | 54 · Surgery only | $17.38 | $21.88 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $4.37 Typical High $4.79 | Professional | 55 · Aftercare only | $3.47 | $4.37 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.88 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.29 | $2.88 | $3.16 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $35.48 | Professional | None | $20.89 | $23.44 | $35.48 |
Where Delaware sits
The same service costs 3.2 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· 44th of 51
$23.44
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.