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 $154.88 Median $2,818.38 Typical High $4,786.30 | Facility | None | $154.88 | $2,818.38 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $269.15 | Professional | None | $144.54 | $154.88 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $75.86 Typical High $134.90 | Professional | 52 · Reduced service | $72.44 | $75.86 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.90 Typical High $53.70 | Professional | 53 · Discontinued | $28.84 | $30.90 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $114.82 Typical High $199.53 | Professional | 54 · Surgery only | $109.65 | $114.82 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $22.91 Typical High $39.81 | Professional | 55 · Aftercare only | $21.88 | $22.91 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $15.49 Typical High $26.92 | Professional | 56 · Pre-op care only | $14.45 | $15.49 | $26.92 |
CareFirst Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $3,235.94 | Professional | None | $125.89 | $141.25 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $229.09 Typical High $588.84 | Professional | None | $134.90 | $229.09 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $245.47 Typical High $512.86 | Professional | None | $234.42 | $245.47 | $512.86 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $5,754.40 Typical High $27,542.29 | Facility | None | $1,288.25 | $5,754.40 | $27,542.29 |
United Setting Professional Modifier None Typical Low $120.23 Median $275.42 Typical High $588.84 | Professional | None | $120.23 | $275.42 | $588.84 |
Where Washington, DC sits
The same service costs 3.7 times more in Alaska 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· 36th 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.