How much rates vary
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | None | $87.10 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $44.67 | Professional | 52 · Reduced service | $43.65 | $43.65 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $13.49 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $8.91 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $8.91 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $154.88 | Professional | None | $123.03 | $123.03 | $154.88 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $263.03 | Facility | None | $87.10 | $87.10 | $263.03 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $42.66 Typical High $588.84 | Professional | None | $37.15 | $42.66 | $588.84 |
United Setting Professional Modifier None Typical Low $10.96 Median $34.67 Typical High $52.48 | Professional | None | $10.96 | $34.67 | $52.48 |
Where North Dakota sits
The same service costs 3.5 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.
North Dakota· 11th of 51
$87.10
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.