How much rates vary
Facilitymedian $14 · 10th to 90th $12 to $26Professionalmedian $7 · 10th to 90th $7 to $12
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 $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $12.30 | Professional | None | $10.00 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $6.03 Typical High $6.17 | Professional | 52 · Reduced service | $5.01 | $6.03 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.40 Typical High $2.45 | Professional | 53 · Discontinued | $2.04 | $2.40 | $2.45 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $7.59 Median $8.91 Typical High $9.12 | Professional | 54 · Surgery only | $7.59 | $8.91 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.78 Typical High $1.82 | Professional | 55 · Aftercare only | $1.51 | $1.78 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.20 Typical High $1.23 | Professional | 56 · Pre-op care only | $1.00 | $1.20 | $1.23 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
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 $13.80 Median $13.80 Typical High $26.30 | Facility | None | $13.80 | $13.80 | $26.30 |
Providence Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $18.62 | Professional | None | $7.08 | $7.08 | $18.62 |
United Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $12.02 | Professional | None | $7.08 | $7.08 | $12.02 |
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
$7.59
HI $18.62NY $6.76
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.