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 $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $20.42 Typical High $22.91 | Professional | None | $16.60 | $20.42 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $10.23 Typical High $11.48 | Professional | 52 · Reduced service | $8.32 | $10.23 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $4.17 Typical High $4.57 | Professional | 53 · Discontinued | $3.31 | $4.17 | $4.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12.30 Median $15.49 Typical High $16.98 | Professional | 54 · Surgery only | $12.30 | $15.49 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $3.09 Typical High $3.39 | Professional | 55 · Aftercare only | $2.45 | $3.09 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.66 Median $2.04 Typical High $2.29 | Professional | 56 · Pre-op care only | $1.66 | $2.04 | $2.29 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $14.79 Median $16.98 Typical High $25.70 | Professional | None | $14.79 | $16.98 | $25.70 |
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· 38th of 51
$16.98
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.