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 $107.15 Median $1,698.24 Typical High $4,073.80 | Facility | None | $107.15 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $208.93 | Professional | None | $104.71 | $154.88 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $74.13 Typical High $89.13 | Professional | 52 · Reduced service | $52.48 | $74.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $29.51 Typical High $35.48 | Professional | 53 · Discontinued | $21.38 | $29.51 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $109.65 Typical High $134.90 | Professional | 54 · Surgery only | $79.43 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $21.88 Typical High $26.92 | Professional | 55 · Aftercare only | $15.85 | $21.88 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $14.79 Typical High $17.78 | Professional | 56 · Pre-op care only | $10.47 | $14.79 | $17.78 |
CareFirst Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $93.33 | Professional | None | $72.44 | $81.28 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $147.91 Typical High $257.04 | Professional | None | $93.33 | $147.91 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $346.74 | Professional | None | $162.18 | $177.83 | $346.74 |
United Setting Facility Modifier None Typical Low $109.65 Median $549.54 Typical High $1,548.82 | Facility | None | $109.65 | $549.54 | $1,548.82 |
United Setting Professional Modifier None Typical Low $81.28 Median $131.83 Typical High $263.03 | Professional | None | $81.28 | $131.83 | $263.03 |
Where Washington, DC sits
The same service costs 3.5 times more in Wyoming than in Maryland. 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
$107
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.