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 $53.70 Median $1,698.24 Typical High $4,073.80 | Facility | None | $53.70 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $104.71 Typical High $263.03 | Professional | None | $53.70 | $104.71 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $31.62 Typical High $52.48 | Professional | 52 · Reduced service | $26.92 | $31.62 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.59 Typical High $20.89 | Professional | 53 · Discontinued | $10.96 | $12.59 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $46.77 Typical High $79.43 | Professional | 54 · Surgery only | $40.74 | $46.77 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $15.49 Typical High $15.85 | Professional | 55 · Aftercare only | $8.13 | $15.49 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $10.23 Typical High $10.47 | Professional | 56 · Pre-op care only | $5.37 | $10.23 | $10.47 |
CareFirst Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $645.65 | Professional | None | $51.29 | $57.54 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $109.65 Typical High $275.42 | Professional | None | $56.23 | $109.65 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $114.82 Typical High $234.42 | Professional | None | $109.65 | $114.82 | $234.42 |
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 $54.95 Median $128.82 Typical High $281.84 | Professional | None | $54.95 | $128.82 | $281.84 |
Where Washington, DC sits
The same service costs 2.8 times more in Alaska 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· 33rd of 51
$107
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.