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 $87.10 Median $1,698.24 Typical High $4,073.80 | Facility | None | $87.10 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $316.23 | Professional | None | $87.10 | $107.15 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $52.48 Typical High $158.49 | Professional | 52 · Reduced service | $43.65 | $52.48 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.38 Typical High $63.10 | Professional | 53 · Discontinued | $17.38 | $21.38 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $79.43 Typical High $234.42 | Professional | 54 · Surgery only | $64.57 | $79.43 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $15.85 Typical High $46.77 | Professional | 55 · Aftercare only | $12.88 | $15.85 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $10.72 Typical High $31.62 | Professional | 56 · Pre-op care only | $8.71 | $10.72 | $31.62 |
CareFirst Setting Professional Modifier None Typical Low $83.18 Median $91.20 Typical High $1,698.24 | Professional | None | $83.18 | $91.20 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $239.88 Typical High $851.14 | Professional | None | $91.20 | $239.88 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $724.44 | Professional | None | $380.19 | $398.11 | $724.44 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $5,128.61 | Facility | None | $398.11 | $1,071.52 | $5,128.61 |
United Setting Professional Modifier None Typical Low $87.10 Median $234.42 Typical High $812.83 | Professional | None | $87.10 | $234.42 | $812.83 |
Where Washington, DC sits
The same service costs 4.3 times more in Oklahoma than in Nebraska. 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
$240
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.