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 $275.42 Median $1,862.09 Typical High $4,073.80 | Facility | None | $275.42 | $1,862.09 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $275.42 | Professional | None | $223.87 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $112.20 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $44.67 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $204.17 Typical High $204.17 | Professional | 54 · Surgery only | $165.96 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $33.88 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $22.39 | $27.54 | $27.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $281.84 Typical High $562.34 | Professional | None | $269.15 | $281.84 | $562.34 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $42,657.95 | Facility | None | $2,754.23 | $5,128.61 | $42,657.95 |
United Setting Professional Modifier None Typical Low $229.09 Median $354.81 Typical High $741.31 | Professional | None | $229.09 | $354.81 | $741.31 |
Where Washington, DC sits
The same service costs 9.5 times more in Arkansas than in Kentucky. 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· 35th of 51
$295
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.