How much rates vary
Facilitymedian $91 · 10th to 90th $91 to $204Professionalmedian $74 · 10th to 90th $62 to $107
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $100.00 | Professional | None | $72.44 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $44.67 Typical High $50.12 | Professional | 52 · Reduced service | $36.31 | $44.67 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $18.20 Typical High $19.95 | Professional | 53 · Discontinued | $14.45 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $67.61 Typical High $74.13 | Professional | 54 · Surgery only | $53.70 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $13.49 Typical High $14.79 | Professional | 55 · Aftercare only | $10.96 | $13.49 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $9.12 Typical High $10.00 | Professional | 56 · Pre-op care only | $7.24 | $9.12 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
United Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $112.20 | Professional | None | $64.57 | $74.13 | $112.20 |
Where Delaware sits
The same service costs 2.8 times more in Hawaii 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· 40th of 51
$74.13
HI $162NY $58.88
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.