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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $102.33 | Professional | None | $75.86 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $50.12 Typical High $51.29 | Professional | 52 · Reduced service | $38.02 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.95 Typical High $20.42 | Professional | 53 · Discontinued | $15.14 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $15.14 Typical High $15.49 | Professional | 55 · Aftercare only | $11.48 | $15.14 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $10.00 Typical High $10.23 | Professional | 56 · Pre-op care only | $7.59 | $10.00 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Providence Setting Facility Modifier None Typical Low $87.10 Median $89.13 Typical High $93.33 | Facility | None | $87.10 | $89.13 | $93.33 |
Providence Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $147.91 | Facility | None | $123.03 | $123.03 | $147.91 |
United Setting Professional Modifier None Typical Low $15.14 Median $53.70 Typical High $81.28 | Professional | None | $15.14 | $53.70 | $81.28 |
Where New Mexico sits
The same service costs 4.2 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· 27th of 51
$81.28
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.