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 $199.53 Median $1,862.09 Typical High $4,786.30 | Facility | None | $199.53 | $1,862.09 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $501.19 Typical High $741.31 | Professional | None | $194.98 | $501.19 | $741.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $107.15 Typical High $371.54 | Professional | 52 · Reduced service | $100.00 | $107.15 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $42.66 Typical High $147.91 | Professional | 53 · Discontinued | $39.81 | $42.66 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $158.49 Typical High $549.54 | Professional | 54 · Surgery only | $151.36 | $158.49 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $31.62 Typical High $109.65 | Professional | 55 · Aftercare only | $30.20 | $31.62 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $21.38 Typical High $74.13 | Professional | 56 · Pre-op care only | $19.95 | $21.38 | $74.13 |
CareFirst Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $213.80 | Professional | None | $169.82 | $186.21 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $436.52 Typical High $758.58 | Professional | None | $173.78 | $436.52 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $1,412.54 | Professional | None | $645.65 | $724.44 | $1,412.54 |
United Setting Facility Modifier None Typical Low $537.03 Median $2,511.89 Typical High $27,542.29 | Facility | None | $537.03 | $2,511.89 | $27,542.29 |
United Setting Professional Modifier None Typical Low $147.91 Median $346.74 Typical High $1,096.48 | Professional | None | $147.91 | $346.74 | $1,096.48 |
Where Washington, DC sits
The same service costs 4.7 times more in Alaska than in Washington, DC. 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· 51st of 51
$200
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.