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 $416.87 Median $1,174.90 Typical High $4,265.80 | Facility | None | $416.87 | $1,174.90 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $380.19 Typical High $467.74 | Professional | None | $194.98 | $380.19 | $467.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $107.15 Typical High $234.42 | Professional | 52 · Reduced service | $100.00 | $107.15 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $42.66 Typical High $93.33 | Professional | 53 · Discontinued | $39.81 | $42.66 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $158.49 Typical High $346.74 | Professional | 54 · Surgery only | $151.36 | $158.49 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $32.36 Typical High $70.79 | Professional | 55 · Aftercare only | $30.20 | $32.36 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $21.38 Typical High $46.77 | Professional | 56 · Pre-op care only | $19.95 | $21.38 | $46.77 |
CareFirst Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $251.19 | Professional | None | $169.82 | $186.21 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $346.74 Typical High $512.86 | Professional | None | $173.78 | $346.74 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $891.25 | Professional | None | $416.87 | $467.74 | $891.25 |
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 $158.49 Median $302.00 Typical High $724.44 | Professional | None | $158.49 | $302.00 | $724.44 |
Where Washington, DC sits
The same service costs 4.2 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
$214
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.