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 $138.04 Median $602.56 Typical High $3,311.31 | Facility | None | $138.04 | $602.56 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $144.54 Typical High $229.09 | Professional | None | $63.10 | $144.54 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $64.57 Typical High $114.82 | Professional | 52 · Reduced service | $31.62 | $64.57 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $25.70 Typical High $45.71 | Professional | 53 · Discontinued | $12.88 | $25.70 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $97.72 Typical High $173.78 | Professional | 54 · Surgery only | $47.86 | $97.72 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $19.50 Typical High $34.67 | Professional | 55 · Aftercare only | $9.55 | $19.50 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $12.88 Typical High $22.91 | Professional | 56 · Pre-op care only | $6.31 | $12.88 | $22.91 |
CareFirst Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $69.18 | Professional | None | $54.95 | $60.26 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $151.36 Typical High $204.17 | Professional | None | $57.54 | $151.36 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $446.68 | Professional | None | $213.80 | $239.88 | $446.68 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $5,128.61 | Facility | None | $398.11 | $1,071.52 | $5,128.61 |
United Setting Professional Modifier None Typical Low $48.98 Median $120.23 Typical High $269.15 | Professional | None | $48.98 | $120.23 | $269.15 |
Where Washington, DC sits
The same service costs 4.1 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
$72.44
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.