How much rates vary
Facilitymedian $16 · 10th to 90th $16 to $16Professionalmedian $6 · 10th to 90th $5 to $10
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 Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $7.24 | Professional | None | $6.46 | $6.46 | $7.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.24 Median $3.24 Typical High $3.55 | Professional | 52 · Reduced service | $3.24 | $3.24 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.45 | Professional | 53 · Discontinued | $1.29 | $1.29 | $1.45 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4.79 Median $4.79 Typical High $5.37 | Professional | 54 · Surgery only | $4.79 | $4.79 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.98 Median $0.98 Typical High $1.07 | Professional | 55 · Aftercare only | $0.98 | $0.98 | $1.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.65 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.65 | $0.65 | $0.72 |
CareSource Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
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 $5.50 Median $5.75 Typical High $12.59 | Professional | None | $5.50 | $5.75 | $12.59 |
Where West Virginia 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.
West Virginia· 42nd of 51
$5.89
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.