How much rates vary
Facilitymedian $32 · 10th to 90th $26 to $62Professionalmedian $16 · 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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $26.30 | Professional | None | $21.88 | $25.70 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $12.88 Typical High $13.18 | Professional | 52 · Reduced service | $10.72 | $12.88 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.13 Typical High $5.25 | Professional | 53 · Discontinued | $4.37 | $5.13 | $5.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.22 Median $19.05 Typical High $19.50 | Professional | 54 · Surgery only | $16.22 | $19.05 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $3.80 Typical High $3.98 | Professional | 55 · Aftercare only | $3.24 | $3.80 | $3.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $2.57 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.19 | $2.57 | $2.63 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
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 $32.36 Median $32.36 Typical High $61.66 | Facility | None | $32.36 | $32.36 | $61.66 |
Providence Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $39.81 | Professional | None | $15.14 | $15.14 | $39.81 |
United Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $26.30 | Professional | None | $15.14 | $15.14 | $26.30 |
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
$16.22
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.