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 $251.19 Median $2,238.72 Typical High $5,248.07 | Facility | None | $251.19 | $2,238.72 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $630.96 Typical High $912.01 | Professional | None | $251.19 | $630.96 | $912.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $302.00 Typical High $446.68 | Professional | 52 · Reduced service | $125.89 | $302.00 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $120.23 Typical High $181.97 | Professional | 53 · Discontinued | $51.29 | $120.23 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $446.68 Typical High $676.08 | Professional | 54 · Surgery only | $190.55 | $446.68 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $89.13 Typical High $134.90 | Professional | 55 · Aftercare only | $38.02 | $89.13 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $60.26 Typical High $91.20 | Professional | 56 · Pre-op care only | $25.70 | $60.26 | $91.20 |
CareFirst Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $275.42 | Professional | None | $213.80 | $239.88 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $645.65 Typical High $977.24 | Professional | None | $223.87 | $645.65 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $891.25 Typical High $1,737.80 | Professional | None | $794.33 | $891.25 | $1,737.80 |
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 $208.93 Median $549.54 Typical High $1,230.27 | Professional | None | $208.93 | $549.54 | $1,230.27 |
Where Washington, DC sits
The same service costs 4.3 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
$275
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.