How much rates vary
Facilitymedian $1,413 · 10th to 90th $427 to $6,310Professionalmedian $525 · 10th to 90th $427 to $708
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 $549.54 Median $1,698.24 Typical High $7,943.28 | Facility | None | $549.54 | $1,698.24 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $549.54 Typical High $549.54 | Professional | None | $501.19 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $371.54 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $75.86 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $54.95 Typical High $54.95 | Professional | 56 · Pre-op care only | $50.12 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $380.19 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $346.74 | $380.19 | $380.19 |
CareFirst Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $588.84 | Professional | None | $501.19 | $562.34 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $512.86 Typical High $1,122.02 | Professional | None | $478.63 | $512.86 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $1,096.48 | Professional | None | $426.58 | $478.63 | $1,096.48 |
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 $371.54 Median $426.58 Typical High $1,258.93 | Professional | None | $371.54 | $426.58 | $1,258.93 |
Where Washington, DC sits
The same service costs 11.7 times more in New York than in North Carolina. 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
$525
NY $3,802NC $324
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.