How much rates vary
Facilitymedian $7 · 10th to 90th $5 to $13Professionalmedian $3 · 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 $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $5.13 Typical High $5.25 | Professional | None | $4.37 | $5.13 | $5.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.19 Median $2.57 Typical High $2.63 | Professional | 52 · Reduced service | $2.19 | $2.57 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $1.02 Typical High $1.05 | Professional | 53 · Discontinued | $0.87 | $1.02 | $1.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.24 Median $3.80 Typical High $3.98 | Professional | 54 · Surgery only | $3.24 | $3.80 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.65 Median $0.78 Typical High $0.79 | Professional | 55 · Aftercare only | $0.65 | $0.78 | $0.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.43 Median $0.51 Typical High $0.52 | Professional | 56 · Pre-op care only | $0.43 | $0.51 | $0.52 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
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 $6.61 Median $6.61 Typical High $12.88 | Facility | None | $6.61 | $6.61 | $12.88 |
Providence Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $7.94 | Professional | None | $3.02 | $3.02 | $7.94 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $5.25 | Professional | None | $3.09 | $3.09 | $5.25 |
Where New Mexico 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.
New Mexico· 45th of 51
$3.31
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.