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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $117.49 | Professional | None | $109.65 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $54.95 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $21.88 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $16.22 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $10.96 | $11.75 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $165.96 Typical High $204.17 | Professional | None | $162.18 | $165.96 | $204.17 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $354.81 | Facility | None | $117.49 | $117.49 | $354.81 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $851.14 | Professional | None | $56.23 | $58.88 | $851.14 |
United Setting Professional Modifier None Typical Low $15.14 Median $54.95 Typical High $70.79 | Professional | None | $15.14 | $54.95 | $70.79 |
Where North Dakota sits
The same service costs 3.0 times more in Hawaii than in Indiana. 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· 14th of 51
$117
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.