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 $91.20 Median $1,548.82 Typical High $3,311.31 | Facility | None | $91.20 | $1,548.82 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $173.78 Typical High $229.09 | Professional | None | $89.13 | $173.78 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $70.79 Typical High $114.82 | Professional | 52 · Reduced service | $45.71 | $70.79 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $28.18 Typical High $45.71 | Professional | 53 · Discontinued | $18.20 | $28.18 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $107.15 Typical High $173.78 | Professional | 54 · Surgery only | $67.61 | $107.15 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $21.38 Typical High $34.67 | Professional | 55 · Aftercare only | $13.49 | $21.38 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $14.13 Typical High $22.91 | Professional | 56 · Pre-op care only | $9.12 | $14.13 | $22.91 |
CareFirst Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $114.82 | Professional | None | $77.62 | $85.11 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $169.82 Typical High $229.09 | Professional | None | $79.43 | $169.82 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $436.52 | Professional | None | $208.93 | $234.42 | $436.52 |
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 $70.79 Median $141.25 Typical High $269.15 | Professional | None | $70.79 | $141.25 | $269.15 |
Where Washington, DC sits
The same service costs 3.4 times more in Wisconsin 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
$100
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.