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 $263.03 Median $1,698.24 Typical High $4,073.80 | Facility | None | $263.03 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $489.78 Typical High $794.33 | Professional | None | $257.04 | $489.78 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $245.47 Typical High $389.05 | Professional | 52 · Reduced service | $131.83 | $245.47 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $97.72 Typical High $158.49 | Professional | 53 · Discontinued | $52.48 | $97.72 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $371.54 Typical High $588.84 | Professional | 54 · Surgery only | $194.98 | $371.54 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $74.13 Typical High $117.49 | Professional | 55 · Aftercare only | $38.90 | $74.13 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $48.98 Typical High $79.43 | Professional | 56 · Pre-op care only | $26.30 | $48.98 | $79.43 |
CareFirst Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $302.00 | Professional | None | $218.78 | $245.47 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $537.03 Typical High $776.25 | Professional | None | $229.09 | $537.03 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $1,513.56 | Professional | None | $691.83 | $776.25 | $1,513.56 |
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 $199.53 Median $457.09 Typical High $1,023.29 | Professional | None | $199.53 | $457.09 | $1,023.29 |
Where Washington, DC sits
The same service costs 3.9 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
$282
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.