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 $1,548.82 Typical High $3,311.31 | Facility | None | $109.65 | $1,548.82 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $323.59 Typical High $616.60 | Professional | None | $109.65 | $323.59 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $162.18 Typical High $309.03 | Professional | 52 · Reduced service | $53.70 | $162.18 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $64.57 Typical High $123.03 | Professional | 53 · Discontinued | $21.88 | $64.57 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $245.47 Typical High $457.09 | Professional | 54 · Surgery only | $81.28 | $245.47 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $48.98 Typical High $93.33 | Professional | 55 · Aftercare only | $16.22 | $48.98 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $32.36 Typical High $61.66 | Professional | 56 · Pre-op care only | $10.96 | $32.36 | $61.66 |
CareFirst Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $123.03 | Professional | None | $95.50 | $104.71 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $251.19 Typical High $575.44 | Professional | None | $95.50 | $251.19 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $1,148.15 | Professional | None | $457.09 | $512.86 | $1,148.15 |
United Setting Facility Modifier None Typical Low $537.03 Median $2,511.89 Typical High $27,542.29 | Facility | None | $537.03 | $2,511.89 | $27,542.29 |
United Setting Professional Modifier None Typical Low $85.11 Median $309.03 Typical High $707.95 | Professional | None | $85.11 | $309.03 | $707.95 |
Where Washington, DC sits
The same service costs 5.6 times more in Washington 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
$120
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.