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 $269.15 Median $2,818.38 Typical High $4,786.30 | Facility | None | $269.15 | $2,818.38 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $602.56 Typical High $1,023.29 | Professional | None | $269.15 | $602.56 | $1,023.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $223.87 Typical High $512.86 | Professional | 52 · Reduced service | $134.90 | $223.87 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $91.20 Typical High $204.17 | Professional | 53 · Discontinued | $53.70 | $91.20 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $338.84 Typical High $776.25 | Professional | 54 · Surgery only | $199.53 | $338.84 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $67.61 Typical High $154.88 | Professional | 55 · Aftercare only | $39.81 | $67.61 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $44.67 Typical High $102.33 | Professional | 56 · Pre-op care only | $26.92 | $44.67 | $102.33 |
CareFirst Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $281.84 | Professional | None | $218.78 | $245.47 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $676.08 Typical High $851.14 | Professional | None | $229.09 | $676.08 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,949.84 | Professional | None | $891.25 | $1,000.00 | $1,949.84 |
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 $208.93 Median $588.84 Typical High $1,258.93 | Professional | None | $208.93 | $588.84 | $1,258.93 |
Where Washington, DC sits
The same service costs 5.9 times more in Nebraska than in Indiana. 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· 49th of 51
$282
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.