How much rates vary
Facilitymedian $22 · 10th to 90th $22 to $50Professionalmedian $18 · 10th to 90th $15 to $26
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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $21.88 Typical High $24.55 | Professional | None | $17.78 | $21.88 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $10.96 Typical High $12.30 | Professional | 52 · Reduced service | $8.91 | $10.96 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.47 Typical High $4.90 | Professional | 53 · Discontinued | $3.55 | $4.47 | $4.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $13.18 Median $16.60 Typical High $18.20 | Professional | 54 · Surgery only | $13.18 | $16.60 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $3.31 Typical High $3.63 | Professional | 55 · Aftercare only | $2.63 | $3.31 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $2.19 Typical High $2.45 | Professional | 56 · Pre-op care only | $1.78 | $2.19 | $2.45 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $15.85 Median $18.20 Typical High $27.54 | Professional | None | $15.85 | $18.20 | $27.54 |
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· 41st of 51
$18.20
HI $39.81NY $14.45
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.