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 $21.38 Median $1,862.09 Typical High $4,073.80 | Facility | None | $21.38 | $1,862.09 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $21.38 Typical High $21.38 | Professional | None | $19.95 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $10.00 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $4.07 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.14 Median $15.85 Typical High $15.85 | Professional | 54 · Surgery only | $15.14 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.24 Typical High $3.24 | Professional | 55 · Aftercare only | $3.02 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.14 Typical High $2.14 | Professional | 56 · Pre-op care only | $2.00 | $2.14 | $2.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $22.91 | Professional | None | $19.50 | $21.38 | $22.91 |
United Setting Facility Modifier None Typical Low $109.65 Median $549.54 Typical High $1,548.82 | Facility | None | $109.65 | $549.54 | $1,548.82 |
United Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $52.48 | Professional | None | $17.38 | $20.42 | $52.48 |
Where Washington, DC sits
The same service costs 14.5 times more in New Hampshire than in New Jersey. 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· 48th of 51
$21.38
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.