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 $524.81 Median $3,388.44 Typical High $6,606.93 | Facility | None | $524.81 | $3,388.44 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $524.81 | Professional | None | $457.09 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $229.09 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $91.20 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $338.84 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $67.61 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $45.71 | $52.48 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $1,148.15 | Professional | None | $549.54 | $575.44 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $5,754.40 Typical High $27,542.29 | Facility | None | $1,288.25 | $5,754.40 | $27,542.29 |
United Setting Professional Modifier None Typical Low $436.52 Median $741.31 Typical High $1,479.11 | Professional | None | $436.52 | $741.31 | $1,479.11 |
Where Washington, DC sits
The same service costs 7.2 times more in Texas than in Pennsylvania. 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.
Washington, DC· 37th of 51
$631
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.