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 $117.49 Median $1,698.24 Typical High $4,073.80 | Facility | None | $117.49 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $263.03 | Professional | None | $114.82 | $158.49 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $75.86 Typical High $131.83 | Professional | 52 · Reduced service | $57.54 | $75.86 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $30.90 Typical High $52.48 | Professional | 53 · Discontinued | $22.91 | $30.90 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $114.82 Typical High $199.53 | Professional | 54 · Surgery only | $85.11 | $114.82 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $22.91 Typical High $39.81 | Professional | 55 · Aftercare only | $16.98 | $22.91 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $15.14 Typical High $26.30 | Professional | 56 · Pre-op care only | $11.48 | $15.14 | $26.30 |
CareFirst Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $125.89 | Professional | None | $97.72 | $109.65 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $190.55 Typical High $295.12 | Professional | None | $102.33 | $190.55 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $501.19 | Professional | None | $229.09 | $257.04 | $501.19 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $5,754.40 Typical High $27,542.29 | Facility | None | $1,288.25 | $5,754.40 | $27,542.29 |
United Setting Professional Modifier None Typical Low $81.28 Median $165.96 Typical High $316.23 | Professional | None | $81.28 | $165.96 | $316.23 |
Where Washington, DC sits
The same service costs 4.0 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
$117
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.