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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $50.12 | Professional | None | $36.31 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $22.39 Typical High $25.12 | Professional | 52 · Reduced service | $18.20 | $22.39 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $9.12 Typical High $10.00 | Professional | 53 · Discontinued | $7.24 | $9.12 | $10.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $33.88 Typical High $37.15 | Professional | 54 · Surgery only | $26.92 | $33.88 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $6.76 Typical High $7.41 | Professional | 55 · Aftercare only | $5.37 | $6.76 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $4.47 Typical High $5.01 | Professional | 56 · Pre-op care only | $3.63 | $4.47 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier None Typical Low $32.36 Median $37.15 Typical High $56.23 | Professional | None | $32.36 | $37.15 | $56.23 |
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
$37.15
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.