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 $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 $158.49 Median $158.49 Typical High $346.74 | Professional | None | $158.49 | $158.49 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $173.78 | Professional | 52 · Reduced service | $79.43 | $79.43 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $69.18 | Professional | 53 · Discontinued | $31.62 | $31.62 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $120.23 Typical High $257.04 | Professional | 54 · Surgery only | $120.23 | $120.23 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $51.29 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $34.67 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $34.67 |
CareFirst Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $1,659.59 | Professional | None | $131.83 | $144.54 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $288.40 Typical High $741.31 | Professional | None | $138.04 | $288.40 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $645.65 | Professional | None | $302.00 | $316.23 | $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 $123.03 Median $331.13 Typical High $758.58 | Professional | None | $123.03 | $331.13 | $758.58 |
Where Washington, DC sits
The same service costs 3.1 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· 25th of 51
$288
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.