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 $186.21 Median $1,698.24 Typical High $4,073.80 | Facility | None | $186.21 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $416.87 Typical High $758.58 | Professional | None | $186.21 | $416.87 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $208.93 Typical High $380.19 | Professional | 52 · Reduced service | $93.33 | $208.93 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $83.18 Typical High $151.36 | Professional | 53 · Discontinued | $37.15 | $83.18 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $309.03 Typical High $562.34 | Professional | 54 · Surgery only | $141.25 | $309.03 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $61.66 Typical High $112.20 | Professional | 55 · Aftercare only | $28.18 | $61.66 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $41.69 Typical High $75.86 | Professional | 56 · Pre-op care only | $18.62 | $41.69 | $75.86 |
CareFirst Setting Professional Modifier None Typical Low $144.54 Median $158.49 Typical High $630.96 | Professional | None | $144.54 | $158.49 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $389.05 Typical High $1,174.90 | Professional | None | $141.25 | $389.05 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $562.34 Typical High $1,288.25 | Professional | None | $338.84 | $562.34 | $1,288.25 |
United Setting Facility Modifier None Typical Low $165.96 Median $549.54 Typical High $5,888.44 | Facility | None | $165.96 | $549.54 | $5,888.44 |
United Setting Professional Modifier None Typical Low $144.54 Median $457.09 Typical High $1,548.82 | Professional | None | $144.54 | $457.09 | $1,548.82 |
Where Washington, DC sits
The same service costs 3.5 times more in Wisconsin than in Nebraska. 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· 43rd of 51
$389
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.