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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $30.90 | Professional | None | $20.42 | $25.70 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $12.88 Typical High $14.13 | Professional | 52 · Reduced service | $10.23 | $12.88 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.13 Typical High $5.62 | Professional | 53 · Discontinued | $4.07 | $5.13 | $5.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.49 Median $19.05 Typical High $21.38 | Professional | 54 · Surgery only | $15.49 | $19.05 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.89 Typical High $4.27 | Professional | 55 · Aftercare only | $3.09 | $3.89 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.57 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.04 | $2.57 | $2.82 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $18.20 Median $20.89 Typical High $31.62 | Professional | None | $18.20 | $20.89 | $31.62 |
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· 39th of 51
$20.89
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.