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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $66.07 | Professional | None | $40.74 | $51.29 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $25.70 Typical High $28.18 | Professional | 52 · Reduced service | $20.42 | $25.70 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.23 Typical High $11.22 | Professional | 53 · Discontinued | $8.13 | $10.23 | $11.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $38.90 Typical High $42.66 | Professional | 54 · Surgery only | $30.90 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.76 Typical High $8.51 | Professional | 55 · Aftercare only | $6.17 | $7.76 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.13 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.07 | $5.13 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
United Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $63.10 | Professional | None | $36.31 | $41.69 | $63.10 |
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· 42nd of 51
$41.69
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.