How much rates vary
Facilitymedian $66 · 10th to 90th $66 to $66Professionalmedian $23 · 10th to 90th $19 to $41
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 Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $28.84 | Professional | None | $26.30 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $12.88 Typical High $14.45 | Professional | 52 · Reduced service | $12.88 | $12.88 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.75 | Professional | 53 · Discontinued | $5.25 | $5.25 | $5.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.50 Median $19.50 Typical High $21.88 | Professional | 54 · Surgery only | $19.50 | $19.50 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $3.89 Typical High $4.37 | Professional | 55 · Aftercare only | $3.89 | $3.89 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.57 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.57 | $2.57 | $2.88 |
CareSource Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
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 $22.39 Median $23.44 Typical High $50.12 | Professional | None | $22.39 | $23.44 | $50.12 |
Where West Virginia 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.
West Virginia· 40th of 51
$23.99
RI $60.26NY $19.05
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.