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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $34.67 | Professional | None | $30.90 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $16.60 Typical High $16.98 | Professional | 52 · Reduced service | $15.49 | $16.60 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.76 Typical High $6.92 | Professional | 53 · Discontinued | $6.17 | $6.76 | $6.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.44 Median $25.12 Typical High $25.70 | Professional | 54 · Surgery only | $23.44 | $25.12 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $5.01 Typical High $5.13 | Professional | 55 · Aftercare only | $4.68 | $5.01 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.39 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.09 | $3.39 | $3.47 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
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 $66.07 Median $66.07 Typical High $125.89 | Facility | None | $66.07 | $66.07 | $125.89 |
Providence Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $51.29 | Professional | None | $19.50 | $19.50 | $51.29 |
United Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $33.88 | Professional | None | $19.95 | $19.95 | $33.88 |
Where New Mexico 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.
New Mexico· 46th of 51
$21.38
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.