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 $288.40 Median $2,818.38 Typical High $4,786.30 | Facility | None | $288.40 | $2,818.38 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $1,096.48 Typical High $1,698.24 | Professional | None | $281.84 | $1,096.48 | $1,698.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $549.54 Typical High $831.76 | Professional | 52 · Reduced service | $141.25 | $549.54 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $218.78 Typical High $338.84 | Professional | 53 · Discontinued | $56.23 | $218.78 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $831.76 Typical High $1,258.93 | Professional | 54 · Surgery only | $213.80 | $831.76 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $165.96 Typical High $251.19 | Professional | 55 · Aftercare only | $42.66 | $165.96 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $109.65 Typical High $169.82 | Professional | 56 · Pre-op care only | $28.18 | $109.65 | $169.82 |
CareFirst Setting Professional Modifier None Typical Low $223.87 Median $245.47 Typical High $630.96 | Professional | None | $223.87 | $245.47 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $602.56 Typical High $2,691.53 | Professional | None | $218.78 | $602.56 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $1,318.26 Typical High $3,019.95 | Professional | None | $524.81 | $1,318.26 | $3,019.95 |
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 $223.87 Median $707.95 Typical High $3,630.78 | Professional | None | $223.87 | $707.95 | $3,630.78 |
Where Washington, DC sits
The same service costs 5.8 times more in Washington than in Hawaii. 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· 44th of 51
$603
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.