How much rates vary
Facilitymedian $1,549 · 10th to 90th $166 to $4,786Professionalmedian $316 · 10th to 90th $115 to $1,230
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 $151.36 Median $2,818.38 Typical High $4,786.30 | Facility | None | $151.36 | $2,818.38 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $416.87 Typical High $758.58 | Professional | None | $147.91 | $416.87 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $208.93 Typical High $380.19 | Professional | 52 · Reduced service | $74.13 | $208.93 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $83.18 Typical High $151.36 | Professional | 53 · Discontinued | $29.51 | $83.18 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $309.03 Typical High $562.34 | Professional | 54 · Surgery only | $112.20 | $309.03 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $61.66 Typical High $114.82 | Professional | 55 · Aftercare only | $22.39 | $61.66 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $41.69 Typical High $75.86 | Professional | 56 · Pre-op care only | $14.79 | $41.69 | $75.86 |
CareFirst Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $630.96 | Professional | None | $114.82 | $128.82 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $398.11 Typical High $1,230.27 | Professional | None | $112.20 | $398.11 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $602.56 Typical High $1,318.26 | Professional | None | $275.42 | $602.56 | $1,318.26 |
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 $117.49 Median $371.54 Typical High $1,584.89 | Professional | None | $117.49 | $371.54 | $1,584.89 |
Where Washington, DC sits
The same service costs 4.0 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· 45th of 51
$331
WI $851MD $214
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.