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 $1,412.54 Median $4,073.80 Typical High $7,943.28 | Facility | None | $1,412.54 | $4,073.80 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,801.89 | $4,168.69 | $4,168.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,905.46 Median $2,089.30 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,905.46 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $831.76 Typical High $831.76 | Professional | 53 · Discontinued | $776.25 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,884.03 Median $3,090.30 Typical High $3,090.30 | Professional | 54 · Surgery only | $2,884.03 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $616.60 Typical High $616.60 | Professional | 55 · Aftercare only | $575.44 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $380.19 Median $416.87 Typical High $416.87 | Professional | 56 · Pre-op care only | $380.19 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $2,884.03 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $2,691.53 | $2,884.03 | $2,884.03 |
CareFirst Setting Professional Modifier None Typical Low $3,467.37 Median $3,890.45 Typical High $4,466.84 | Professional | None | $3,467.37 | $3,890.45 | $4,466.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,090.30 Median $3,467.37 Typical High $8,128.31 | Professional | None | $3,090.30 | $3,467.37 | $8,128.31 |
United Setting Facility Modifier None Typical Low $426.58 Median $1,412.54 Typical High $6,309.57 | Facility | None | $426.58 | $1,412.54 | $6,309.57 |
United Setting Professional Modifier None Typical Low $2,754.23 Median $3,388.44 Typical High $9,120.11 | Professional | None | $2,754.23 | $3,388.44 | $9,120.11 |
Where Washington, DC sits
The same service costs 27.5 times more in Alaska than in Texas. 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· 32nd of 51
$3,890
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.