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 $257.04 Median $2,818.38 Typical High $4,786.30 | Facility | None | $257.04 | $2,818.38 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $851.14 Typical High $1,621.81 | Professional | None | $257.04 | $851.14 | $1,621.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $426.58 Typical High $691.83 | Professional | 52 · Reduced service | $128.82 | $426.58 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $169.82 Typical High $281.84 | Professional | 53 · Discontinued | $51.29 | $169.82 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $630.96 Typical High $1,047.13 | Professional | 54 · Surgery only | $190.55 | $630.96 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $125.89 Typical High $208.93 | Professional | 55 · Aftercare only | $38.02 | $125.89 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $85.11 Typical High $138.04 | Professional | 56 · Pre-op care only | $25.70 | $85.11 | $138.04 |
CareFirst Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $630.96 | Professional | None | $199.53 | $223.87 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $549.54 Typical High $2,344.23 | Professional | None | $194.98 | $549.54 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $1,174.90 Typical High $2,511.89 | Professional | None | $478.63 | $1,174.90 | $2,511.89 |
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 $199.53 Median $645.65 Typical High $3,019.95 | Professional | None | $199.53 | $645.65 | $3,019.95 |
Where Washington, DC sits
The same service costs 4.1 times more in Washington 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· 45th of 51
$550
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.