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 $309.03 Median $794.33 Typical High $4,265.80 | Facility | None | $309.03 | $794.33 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $309.03 Typical High $776.25 | Professional | None | $151.36 | $309.03 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $154.88 | Professional | 52 · Reduced service | $75.86 | $75.86 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.90 Typical High $61.66 | Professional | 53 · Discontinued | $30.20 | $30.90 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $234.42 | Professional | 54 · Surgery only | $114.82 | $114.82 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $46.77 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $30.90 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $30.90 |
CareFirst Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $2,089.30 | Professional | None | $138.04 | $154.88 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $269.15 Typical High $691.83 | Professional | None | $134.90 | $269.15 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $588.84 | Professional | None | $309.03 | $323.59 | $588.84 |
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 $323.59 Typical High $691.83 | Professional | None | $123.03 | $323.59 | $691.83 |
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· 29th of 51
$309
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.