How much rates vary
Facilitymedian $25 · 10th to 90th $25 to $25Professionalmedian $9 · 10th to 90th $8 to $15
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 Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.01 Typical High $5.50 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.19 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $7.41 Median $7.41 Typical High $8.32 | Professional | 54 · Surgery only | $7.41 | $7.41 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.48 Median $1.48 Typical High $1.66 | Professional | 55 · Aftercare only | $1.48 | $1.48 | $1.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $1.12 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $1.12 |
CareSource Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
United Setting Professional Modifier None Typical Low $8.51 Median $8.91 Typical High $19.50 | Professional | None | $8.51 | $8.91 | $19.50 |
Where West Virginia 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.
West Virginia· 42nd of 51
$8.91
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.