How much rates vary
Facilitymedian $26 · 10th to 90th $26 to $59Professionalmedian $21 · 10th to 90th $18 to $30
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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $28.84 | Professional | None | $20.89 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $13.18 Typical High $14.45 | Professional | 52 · Reduced service | $10.47 | $13.18 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.25 Typical High $5.75 | Professional | 53 · Discontinued | $4.17 | $5.25 | $5.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.85 Median $19.50 Typical High $21.38 | Professional | 54 · Surgery only | $15.85 | $19.50 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.89 Typical High $4.37 | Professional | 55 · Aftercare only | $3.16 | $3.89 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.63 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.09 | $2.63 | $2.88 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
United Setting Professional Modifier None Typical Low $18.62 Median $21.38 Typical High $32.36 | Professional | None | $18.62 | $21.38 | $32.36 |
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· 44th of 51
$21.38
HI $46.77NY $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.