How much rates vary
Facilitymedian $14 · 10th to 90th $14 to $32Professionalmedian $12 · 10th to 90th $10 to $16
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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $15.85 | Professional | None | $12.88 | $14.45 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $7.08 Typical High $7.94 | Professional | 52 · Reduced service | $5.75 | $7.08 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.88 Typical High $3.16 | Professional | 53 · Discontinued | $2.29 | $2.88 | $3.16 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $8.51 Median $10.72 Typical High $11.75 | Professional | 54 · Surgery only | $8.51 | $10.72 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $2.14 Typical High $2.34 | Professional | 55 · Aftercare only | $1.70 | $2.14 | $2.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.45 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.12 | $1.45 | $1.58 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $10.23 Median $11.75 Typical High $17.78 | Professional | None | $10.23 | $11.75 | $17.78 |
Where Delaware sits
The same service costs 2.9 times more in Rhode Island 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· 43rd of 51
$12.02
RI $26.92NY $9.33
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.