How much rates vary
Facilitymedian $138 · 10th to 90th $107 to $269Professionalmedian $65 · 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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $107.15 | Professional | None | $89.13 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $52.48 Typical High $53.70 | Professional | 52 · Reduced service | $44.67 | $52.48 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $21.38 | Professional | 53 · Discontinued | $17.78 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $77.62 Typical High $79.43 | Professional | 54 · Surgery only | $66.07 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $15.85 Typical High $16.22 | Professional | 55 · Aftercare only | $13.18 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $10.47 Typical High $10.72 | Professional | 56 · Pre-op care only | $8.91 | $10.47 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
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 $138.04 Median $138.04 Typical High $269.15 | Facility | None | $138.04 | $138.04 | $269.15 |
Providence Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $162.18 | Professional | None | $61.66 | $61.66 | $162.18 |
United Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $107.15 | Professional | None | $63.10 | $63.10 | $107.15 |
Where New Mexico 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.
New Mexico· 45th of 51
$67.61
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.