How much rates vary
Facilitymedian $4 · 10th to 90th $4 to $10Professionalmedian $4 · 10th to 90th $3 to $5
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 $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $4.47 Typical High $4.90 | Professional | None | $3.55 | $4.47 | $4.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.78 Median $2.19 Typical High $2.45 | Professional | 52 · Reduced service | $1.78 | $2.19 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.87 Typical High $0.98 | Professional | 53 · Discontinued | $0.71 | $0.87 | $0.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.63 Median $3.31 Typical High $3.63 | Professional | 54 · Surgery only | $2.63 | $3.31 | $3.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.66 Typical High $0.72 | Professional | 55 · Aftercare only | $0.52 | $0.66 | $0.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.44 Typical High $0.49 | Professional | 56 · Pre-op care only | $0.35 | $0.44 | $0.49 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
United Setting Professional Modifier None Typical Low $3.16 Median $3.63 Typical High $5.50 | Professional | None | $3.16 | $3.63 | $5.50 |
Where Delaware sits
The same service costs 2.7 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· 41st of 51
$3.63
HI $7.94NY $2.95
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.