How much rates vary
Facilitymedian $550 · 10th to 90th $141 to $4,266Professionalmedian $219 · 10th to 90th $129 to $562
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 $141.25 Median $1,698.24 Typical High $4,786.30 | Facility | None | $141.25 | $1,698.24 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $245.47 Typical High $537.03 | Professional | None | $141.25 | $245.47 | $537.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $74.13 Typical High $123.03 | Professional | 52 · Reduced service | $70.79 | $74.13 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.20 Typical High $48.98 | Professional | 53 · Discontinued | $28.18 | $30.20 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $112.20 Typical High $181.97 | Professional | 54 · Surgery only | $107.15 | $112.20 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $22.39 Typical High $37.15 | Professional | 55 · Aftercare only | $21.38 | $22.39 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.79 Typical High $24.55 | Professional | 56 · Pre-op care only | $14.13 | $14.79 | $24.55 |
CareFirst Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $645.65 | Professional | None | $128.82 | $144.54 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $213.80 Typical High $537.03 | Professional | None | $125.89 | $213.80 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $457.09 | Professional | None | $208.93 | $223.87 | $457.09 |
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 $112.20 Median $251.19 Typical High $537.03 | Professional | None | $112.20 | $251.19 | $537.03 |
Where Washington, DC sits
The same service costs 3.0 times more in Wisconsin than in Maryland. 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· 22nd of 51
$245
WI $537MD $182
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.