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 $74.13 Median $83.18 Typical High $95.50 | Professional | None | $74.13 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $41.69 Typical High $47.86 | Professional | 52 · Reduced service | $36.31 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.60 Typical High $19.05 | Professional | 53 · Discontinued | $14.79 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $12.30 Typical High $14.45 | Professional | 55 · Aftercare only | $10.96 | $12.30 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.32 Typical High $9.55 | Professional | 56 · Pre-op care only | $7.41 | $8.32 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $95.50 Typical High $95.50 | Professional | None | $60.26 | $95.50 | $95.50 |
Providence Setting Facility Modifier None Typical Low $72.44 Median $74.13 Typical High $77.62 | Facility | None | $72.44 | $74.13 | $77.62 |
Providence Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $138.04 | Facility | None | $117.49 | $117.49 | $138.04 |
United Setting Professional Modifier None Typical Low $12.88 Median $50.12 Typical High $75.86 | Professional | None | $12.88 | $50.12 | $75.86 |
Where New Mexico sits
The same service costs 2.6 times more in Hawaii than in Ohio. 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· 24th of 51
$75.86
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.