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 $77.62 Median $1,548.82 Typical High $3,311.31 | Facility | None | $77.62 | $1,548.82 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $208.93 Typical High $363.08 | Professional | None | $75.86 | $208.93 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $104.71 Typical High $181.97 | Professional | 52 · Reduced service | $38.02 | $104.71 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $41.69 Typical High $72.44 | Professional | 53 · Discontinued | $15.14 | $41.69 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $158.49 Typical High $275.42 | Professional | 54 · Surgery only | $56.23 | $158.49 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $31.62 Typical High $54.95 | Professional | 55 · Aftercare only | $11.22 | $31.62 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $20.89 Typical High $36.31 | Professional | 56 · Pre-op care only | $7.59 | $20.89 | $36.31 |
CareFirst Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $89.13 | Professional | None | $64.57 | $72.44 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $199.53 Typical High $309.03 | Professional | None | $67.61 | $199.53 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $691.83 | Professional | None | $323.59 | $363.08 | $691.83 |
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 $63.10 Median $190.55 Typical High $407.38 | Professional | None | $63.10 | $190.55 | $407.38 |
Where Washington, DC sits
The same service costs 4.7 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
$91.20
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.