How much rates vary
Facilitymedian $646 · 10th to 90th $158 to $4,786Professionalmedian $251 · 10th to 90th $126 to $708
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 $158.49 Median $2,818.38 Typical High $4,786.30 | Facility | None | $158.49 | $2,818.38 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $158.49 Typical High $338.84 | Professional | None | $151.36 | $158.49 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $79.43 Typical High $169.82 | Professional | 52 · Reduced service | $75.86 | $79.43 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $32.36 Typical High $69.18 | Professional | 53 · Discontinued | $30.20 | $32.36 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $120.23 Typical High $257.04 | Professional | 54 · Surgery only | $114.82 | $120.23 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $23.99 Typical High $51.29 | Professional | 55 · Aftercare only | $22.91 | $23.99 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.85 Typical High $33.88 | Professional | 56 · Pre-op care only | $15.14 | $15.85 | $33.88 |
CareFirst Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $851.14 | Professional | None | $125.89 | $138.04 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $288.40 Typical High $741.31 | Professional | None | $141.25 | $288.40 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $309.03 Typical High $645.65 | Professional | None | $295.12 | $309.03 | $645.65 |
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 $125.89 Median $323.59 Typical High $758.58 | Professional | None | $125.89 | $323.59 | $758.58 |
Where Washington, DC sits
The same service costs 3.2 times more in Wisconsin 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· 23rd of 51
$288
WI $646KY $204
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.