How much rates vary
Facilitymedian $7 · 10th to 90th $7 to $16Professionalmedian $6 · 10th to 90th $5 to $8
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 $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $7.94 | Professional | None | $5.75 | $7.08 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $3.55 Typical High $3.98 | Professional | 52 · Reduced service | $2.88 | $3.55 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.45 Typical High $1.58 | Professional | 53 · Discontinued | $1.12 | $1.45 | $1.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4.27 Median $5.37 Typical High $5.89 | Professional | 54 · Surgery only | $4.27 | $5.37 | $5.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.85 Median $1.07 Typical High $1.17 | Professional | 55 · Aftercare only | $0.85 | $1.07 | $1.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.72 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.56 | $0.72 | $0.79 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
United Setting Professional Modifier None Typical Low $5.13 Median $5.75 Typical High $8.91 | Professional | None | $5.13 | $5.75 | $8.91 |
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
$5.75
RI $13.49NY $4.68
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.