How much rates vary
Facilitymedian $2,138 · 10th to 90th $331 to $16,218Professionalmedian $295 · 10th to 90th $138 to $832
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 $165.96 Median $1,698.24 Typical High $4,786.30 | Facility | None | $165.96 | $1,698.24 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $331.13 Typical High $831.76 | Professional | None | $165.96 | $331.13 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $165.96 | Professional | 52 · Reduced service | $83.18 | $83.18 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $66.07 | Professional | 53 · Discontinued | $33.11 | $33.11 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $251.19 | Professional | 54 · Surgery only | $125.89 | $125.89 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $50.12 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.60 Typical High $33.11 | Professional | 56 · Pre-op care only | $16.60 | $16.60 | $33.11 |
CareFirst Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $1,380.38 | Professional | None | $138.04 | $154.88 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $295.12 Typical High $741.31 | Professional | None | $147.91 | $295.12 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $630.96 | Professional | None | $331.13 | $354.81 | $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 $134.90 Median $338.84 Typical High $741.31 | Professional | None | $134.90 | $338.84 | $741.31 |
Where Washington, DC sits
The same service costs 3.4 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
$331
WI $776KY $229
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.