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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $53.70 | Professional | None | $44.67 | $52.48 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $26.30 Typical High $26.92 | Professional | 52 · Reduced service | $21.88 | $26.30 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.47 Typical High $10.72 | Professional | 53 · Discontinued | $8.91 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.11 Median $38.90 Typical High $39.81 | Professional | 54 · Surgery only | $33.11 | $38.90 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $7.76 Typical High $7.94 | Professional | 55 · Aftercare only | $6.61 | $7.76 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $5.25 Typical High $5.37 | Professional | 56 · Pre-op care only | $4.47 | $5.25 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
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 $69.18 Median $69.18 Typical High $134.90 | Facility | None | $69.18 | $69.18 | $134.90 |
Providence Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $81.28 | Professional | None | $30.90 | $30.90 | $81.28 |
United Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $53.70 | Professional | None | $31.62 | $31.62 | $53.70 |
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
$33.11
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.