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 $181.97 Median $2,137.96 Typical High $4,073.80 | Facility | None | $181.97 | $2,137.96 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $380.19 Typical High $2,884.03 | Professional | None | $181.97 | $380.19 | $2,884.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $141.25 Typical High $1,445.44 | Professional | 52 · Reduced service | $91.20 | $141.25 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $57.54 Typical High $575.44 | Professional | 53 · Discontinued | $36.31 | $57.54 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $213.80 Typical High $2,187.76 | Professional | 54 · Surgery only | $138.04 | $213.80 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $42.66 Typical High $436.52 | Professional | 55 · Aftercare only | $27.54 | $42.66 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $28.84 Typical High $288.40 | Professional | 56 · Pre-op care only | $18.20 | $28.84 | $288.40 |
CareFirst Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $173.78 | Professional | None | $134.90 | $151.36 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $436.52 Typical High $2,398.83 | Professional | None | $158.49 | $436.52 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,511.89 Median $2,754.23 Typical High $5,623.41 | Professional | None | $2,511.89 | $2,754.23 | $5,623.41 |
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 $147.91 Median $295.12 Typical High $3,981.07 | Professional | None | $147.91 | $295.12 | $3,981.07 |
Where Washington, DC sits
The same service costs 17.4 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
$195
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.