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 $275.42 Median $2,137.96 Typical High $4,073.80 | Facility | None | $275.42 | $2,137.96 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $512.86 Typical High $3,019.95 | Professional | None | $275.42 | $512.86 | $3,019.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $213.80 Typical High $1,479.11 | Professional | 52 · Reduced service | $138.04 | $213.80 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $85.11 Typical High $602.56 | Professional | 53 · Discontinued | $54.95 | $85.11 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $323.59 Typical High $2,238.72 | Professional | 54 · Surgery only | $204.17 | $323.59 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $64.57 Typical High $446.68 | Professional | 55 · Aftercare only | $41.69 | $64.57 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $42.66 Typical High $302.00 | Professional | 56 · Pre-op care only | $27.54 | $42.66 | $302.00 |
CareFirst Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $295.12 | Professional | None | $229.09 | $257.04 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $645.65 Typical High $2,454.71 | Professional | None | $239.88 | $645.65 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,570.40 Median $2,884.03 Typical High $5,754.40 | Professional | None | $2,570.40 | $2,884.03 | $5,754.40 |
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 $218.78 Median $457.09 Typical High $3,981.07 | Professional | None | $218.78 | $457.09 | $3,981.07 |
Where Washington, DC sits
The same service costs 12.0 times more in Washington 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
$295
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.