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 $147.91 Median $1,995.26 Typical High $4,786.30 | Facility | None | $147.91 | $1,995.26 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $602.56 Typical High $794.33 | Professional | None | $147.91 | $602.56 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $275.42 Typical High $398.11 | Professional | 52 · Reduced service | $74.13 | $275.42 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $109.65 Typical High $158.49 | Professional | 53 · Discontinued | $29.51 | $109.65 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $416.87 Typical High $588.84 | Professional | 54 · Surgery only | $109.65 | $416.87 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $83.18 Typical High $120.23 | Professional | 55 · Aftercare only | $21.88 | $83.18 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $54.95 Typical High $79.43 | Professional | 56 · Pre-op care only | $14.79 | $54.95 | $79.43 |
CareFirst Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $173.78 | Professional | None | $128.82 | $144.54 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $338.84 Typical High $1,000.00 | Professional | None | $128.82 | $338.84 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $1,479.11 | Professional | None | $602.56 | $660.69 | $1,479.11 |
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 $123.03 Median $478.63 Typical High $1,230.27 | Professional | None | $123.03 | $478.63 | $1,230.27 |
Where Washington, DC sits
The same service costs 6.3 times more in Iowa than in Maryland. 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· 50th of 51
$166
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.