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 $316.23 Median $831.76 Typical High $4,265.80 | Facility | None | $316.23 | $831.76 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $295.12 Typical High $338.84 | Professional | None | $151.36 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $75.86 Typical High $165.96 | Professional | 52 · Reduced service | $74.13 | $75.86 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $67.61 | Professional | 53 · Discontinued | $30.20 | $30.20 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $112.20 Typical High $251.19 | Professional | 54 · Surgery only | $112.20 | $112.20 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.91 Typical High $50.12 | Professional | 55 · Aftercare only | $22.39 | $22.91 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $33.88 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $33.88 |
CareFirst Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $2,089.30 | Professional | None | $134.90 | $151.36 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $288.40 Typical High $741.31 | Professional | None | $131.83 | $288.40 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $346.74 Typical High $630.96 | Professional | None | $331.13 | $346.74 | $630.96 |
United Setting Facility Modifier None Typical Low $537.03 Median $2,511.89 Typical High $27,542.29 | Facility | None | $537.03 | $2,511.89 | $27,542.29 |
United Setting Professional Modifier None Typical Low $123.03 Median $316.23 Typical High $741.31 | Professional | None | $123.03 | $316.23 | $741.31 |
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· 30th of 51
$316
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.