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 $69.18 Median $1,698.24 Typical High $4,073.80 | Facility | None | $69.18 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $117.49 Typical High $190.55 | Professional | None | $67.61 | $117.49 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $57.54 Typical High $95.50 | Professional | 52 · Reduced service | $33.88 | $57.54 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $23.44 Typical High $38.02 | Professional | 53 · Discontinued | $13.49 | $23.44 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $87.10 Typical High $141.25 | Professional | 54 · Surgery only | $51.29 | $87.10 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $17.38 Typical High $28.18 | Professional | 55 · Aftercare only | $10.23 | $17.38 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $11.75 Typical High $19.05 | Professional | 56 · Pre-op care only | $6.76 | $11.75 | $19.05 |
CareFirst Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $537.03 | Professional | None | $58.88 | $64.57 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $151.36 Typical High $416.87 | Professional | None | $63.10 | $151.36 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $158.49 Typical High $354.81 | Professional | None | $154.88 | $158.49 | $354.81 |
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 $58.88 Median $147.91 Typical High $398.11 | Professional | None | $58.88 | $147.91 | $398.11 |
Where Washington, DC sits
The same service costs 3.7 times more in Wisconsin than in Maryland. 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· 35th of 51
$141
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.