How much rates vary
Facilitymedian $20 · 10th to 90th $15 to $27Professionalmedian $14 · 10th to 90th $10 to $20
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 $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $16.60 Typical High $19.95 | Professional | None | $14.79 | $16.60 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $8.32 Typical High $10.00 | Professional | 52 · Reduced service | $7.41 | $8.32 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.39 Typical High $3.98 | Professional | 53 · Discontinued | $2.95 | $3.39 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.51 Typical High $3.02 | Professional | 55 · Aftercare only | $2.19 | $2.51 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.48 Median $1.70 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.48 | $1.70 | $2.00 |
BCBS Kansas 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 Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $20.42 Typical High $100.00 | Facility | None | $14.79 | $20.42 | $100.00 |
Medica Setting Professional Modifier None Typical Low $8.91 Median $10.00 Typical High $131.83 | Professional | None | $8.91 | $10.00 | $131.83 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $26.92 | Facility | None | $22.91 | $22.91 | $26.92 |
United Setting Professional Modifier None Typical Low $6.03 Median $10.00 Typical High $12.88 | Professional | None | $6.03 | $10.00 | $12.88 |
Where Kansas sits
The same service costs 3.2 times more in Montana 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.
Kansas· 33rd of 51
$14.13
MT $26.92NY $8.32
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.