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 $109.65 Median $1,698.24 Typical High $4,073.80 | Facility | None | $109.65 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $229.09 Typical High $416.87 | Professional | None | $107.15 | $229.09 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $112.20 Typical High $208.93 | Professional | 52 · Reduced service | $53.70 | $112.20 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $45.71 Typical High $83.18 | Professional | 53 · Discontinued | $21.38 | $45.71 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $169.82 Typical High $309.03 | Professional | 54 · Surgery only | $81.28 | $169.82 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $33.88 Typical High $63.10 | Professional | 55 · Aftercare only | $16.22 | $33.88 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $22.91 Typical High $41.69 | Professional | 56 · Pre-op care only | $10.72 | $22.91 | $41.69 |
CareFirst Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $120.23 | Professional | None | $89.13 | $100.00 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $269.15 Typical High $398.11 | Professional | None | $97.72 | $269.15 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $407.38 Typical High $794.33 | Professional | None | $363.08 | $407.38 | $794.33 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $5,754.40 Typical High $27,542.29 | Facility | None | $1,288.25 | $5,754.40 | $27,542.29 |
United Setting Professional Modifier None Typical Low $85.11 Median $208.93 Typical High $478.63 | Professional | None | $85.11 | $208.93 | $478.63 |
Where Washington, DC sits
The same service costs 4.4 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
$115
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.