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 $186.21 Median $870.96 Typical High $3,311.31 | Facility | None | $186.21 | $870.96 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $204.17 Typical High $346.74 | Professional | None | $85.11 | $204.17 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $95.50 Typical High $173.78 | Professional | 52 · Reduced service | $42.66 | $95.50 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $38.90 Typical High $69.18 | Professional | 53 · Discontinued | $16.98 | $38.90 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $144.54 Typical High $263.03 | Professional | 54 · Surgery only | $63.10 | $144.54 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $28.84 Typical High $52.48 | Professional | 55 · Aftercare only | $12.59 | $28.84 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $19.50 Typical High $34.67 | Professional | 56 · Pre-op care only | $8.51 | $19.50 | $34.67 |
CareFirst Setting Professional Modifier None Typical Low $74.13 Median $83.18 Typical High $95.50 | Professional | None | $74.13 | $83.18 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $223.87 Typical High $295.12 | Professional | None | $75.86 | $223.87 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $660.69 | Professional | None | $302.00 | $338.84 | $660.69 |
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 $61.66 Median $169.82 Typical High $380.19 | Professional | None | $61.66 | $169.82 | $380.19 |
Where Washington, DC sits
The same service costs 4.7 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
$89.13
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.