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 $407.38 Median $2,818.38 Typical High $6,025.60 | Facility | None | $407.38 | $2,818.38 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $1,548.82 Typical High $2,454.71 | Professional | None | $398.11 | $1,548.82 | $2,454.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $776.25 Typical High $1,202.26 | Professional | 52 · Reduced service | $199.53 | $776.25 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $309.03 Typical High $478.63 | Professional | 53 · Discontinued | $81.28 | $309.03 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $1,174.90 Typical High $1,819.70 | Professional | 54 · Surgery only | $302.00 | $1,174.90 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $234.42 Typical High $363.08 | Professional | 55 · Aftercare only | $60.26 | $234.42 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $154.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $39.81 | $154.88 | $239.88 |
CareFirst Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $630.96 | Professional | None | $338.84 | $371.54 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $870.96 Typical High $4,265.80 | Professional | None | $316.23 | $870.96 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $2,187.76 Typical High $4,365.16 | Professional | None | $758.58 | $2,187.76 | $4,365.16 |
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 $309.03 Median $1,023.29 Typical High $5,248.07 | Professional | None | $309.03 | $1,023.29 | $5,248.07 |
Where Washington, DC sits
The same service costs 5.5 times more in Washington 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· 46th of 51
$794
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.