How much rates vary
Facilitymedian $16 · 10th to 90th $13 to $31Professionalmedian $8 · 10th to 90th $8 to $13
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 $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $13.18 | Professional | None | $10.23 | $12.88 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $6.46 Typical High $6.61 | Professional | 52 · Reduced service | $5.37 | $6.46 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.57 Typical High $2.63 | Professional | 53 · Discontinued | $2.14 | $2.57 | $2.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $8.13 Median $9.55 Typical High $9.77 | Professional | 54 · Surgery only | $8.13 | $9.55 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.62 Median $1.91 Typical High $1.95 | Professional | 55 · Aftercare only | $1.62 | $1.91 | $1.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.29 Typical High $1.32 | Professional | 56 · Pre-op care only | $1.07 | $1.29 | $1.32 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
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 $15.85 Median $15.85 Typical High $30.90 | Facility | None | $15.85 | $15.85 | $30.90 |
Providence Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $19.95 | Professional | None | $7.59 | $7.59 | $19.95 |
United Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $12.88 | Professional | None | $7.59 | $7.59 | $12.88 |
Where New Mexico sits
The same service costs 2.7 times more in Idaho 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
$7.94
ID $19.50NY $7.24
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.