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 $363.08 Median $1,412.54 Typical High $7,943.28 | Facility | None | $363.08 | $1,412.54 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $363.08 Typical High $575.44 | Professional | None | $346.74 | $363.08 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $181.97 Typical High $288.40 | Professional | 52 · Reduced service | $173.78 | $181.97 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $72.44 Typical High $114.82 | Professional | 53 · Discontinued | $69.18 | $72.44 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $275.42 Typical High $436.52 | Professional | 54 · Surgery only | $257.04 | $275.42 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $54.95 Typical High $87.10 | Professional | 55 · Aftercare only | $52.48 | $54.95 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $36.31 Typical High $57.54 | Professional | 56 · Pre-op care only | $34.67 | $36.31 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $257.04 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $239.88 | $257.04 | $407.38 |
CareFirst Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $398.11 | Professional | None | $309.03 | $346.74 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $676.08 | Professional | None | $309.03 | $426.58 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $812.83 | Professional | None | $501.19 | $562.34 | $812.83 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $10,232.93 Typical High $34,673.69 | Facility | None | $2,290.87 | $10,232.93 | $34,673.69 |
United Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $891.25 | Professional | None | $234.42 | $371.54 | $891.25 |
Where Washington, DC sits
The same service costs 4.3 times more in Alaska 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· 42nd of 51
$363
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.