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 $457.09 Median $5,011.87 Typical High $10,232.93 | Facility | None | $457.09 | $5,011.87 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | None | $407.38 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $316.23 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $63.10 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $42.66 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $323.59 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $295.12 | $323.59 | $323.59 |
CareFirst Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $467.74 | Professional | None | $371.54 | $407.38 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $724.44 | Professional | None | $371.54 | $416.87 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $891.25 | Professional | None | $354.81 | $398.11 | $891.25 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,737.80 | $7,943.28 | $27,542.29 |
United Setting Professional Modifier None Typical Low $288.40 Median $363.08 Typical High $1,000.00 | Professional | None | $288.40 | $363.08 | $1,000.00 |
Where Washington, DC sits
The same service costs 5.5 times more in Alaska than in Utah. 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· 37th of 51
$407
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.