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 $47.86 Median $1,698.24 Typical High $4,073.80 | Facility | None | $47.86 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $117.49 Typical High $204.17 | Professional | None | $45.71 | $117.49 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $53.70 Typical High $102.33 | Professional | 52 · Reduced service | $22.91 | $53.70 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $21.88 Typical High $40.74 | Professional | 53 · Discontinued | $9.12 | $21.88 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $81.28 Typical High $151.36 | Professional | 54 · Surgery only | $33.88 | $81.28 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $16.22 Typical High $30.20 | Professional | 55 · Aftercare only | $6.76 | $16.22 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $10.72 Typical High $20.42 | Professional | 56 · Pre-op care only | $4.57 | $10.72 | $20.42 |
CareFirst Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $60.26 | Professional | None | $46.77 | $52.48 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $109.65 Typical High $190.55 | Professional | None | $40.74 | $109.65 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $389.05 | Professional | None | $165.96 | $186.21 | $389.05 |
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 $33.11 Median $104.71 Typical High $229.09 | Professional | None | $33.11 | $104.71 | $229.09 |
Where Washington, DC sits
The same service costs 4.6 times more in Wisconsin 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
$52.48
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.