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 $72.44 Median $309.03 Typical High $3,311.31 | Facility | None | $72.44 | $309.03 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $85.11 Typical High $288.40 | Professional | None | $34.67 | $85.11 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $18.62 Typical High $61.66 | Professional | 52 · Reduced service | $17.38 | $18.62 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.41 Typical High $24.55 | Professional | 53 · Discontinued | $6.92 | $7.41 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $25.70 Median $28.18 Typical High $93.33 | Professional | 54 · Surgery only | $25.70 | $28.18 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.62 Typical High $18.62 | Professional | 55 · Aftercare only | $5.13 | $5.62 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.72 Typical High $12.30 | Professional | 56 · Pre-op care only | $3.47 | $3.72 | $12.30 |
CareFirst Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $630.96 | Professional | None | $30.20 | $33.88 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $89.13 Typical High $281.84 | Professional | None | $32.36 | $89.13 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $239.88 | Professional | None | $112.20 | $117.49 | $239.88 |
United Setting Facility Modifier None Typical Low $109.65 Median $549.54 Typical High $1,548.82 | Facility | None | $109.65 | $549.54 | $1,548.82 |
United Setting Professional Modifier None Typical Low $29.51 Median $87.10 Typical High $302.00 | Professional | None | $29.51 | $87.10 | $302.00 |
Where Washington, DC sits
The same service costs 5.4 times more in Wisconsin 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· 45th of 51
$87.10
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.