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 $151.36 Median $1,548.82 Typical High $3,311.31 | Facility | None | $151.36 | $1,548.82 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $407.38 Typical High $616.60 | Professional | None | $151.36 | $407.38 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $204.17 Typical High $309.03 | Professional | 52 · Reduced service | $75.86 | $204.17 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $83.18 Typical High $123.03 | Professional | 53 · Discontinued | $30.20 | $83.18 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $309.03 Typical High $467.74 | Professional | 54 · Surgery only | $112.20 | $309.03 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $61.66 Typical High $93.33 | Professional | 55 · Aftercare only | $22.39 | $61.66 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $40.74 Typical High $61.66 | Professional | 56 · Pre-op care only | $15.14 | $40.74 | $61.66 |
CareFirst Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $162.18 | Professional | None | $125.89 | $141.25 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $346.74 Typical High $676.08 | Professional | None | $131.83 | $346.74 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $1,148.15 | Professional | None | $467.74 | $524.81 | $1,148.15 |
United Setting Facility Modifier None Typical Low $109.65 Median $549.54 Typical High $1,548.82 | Facility | None | $109.65 | $549.54 | $1,548.82 |
United Setting Professional Modifier None Typical Low $117.49 Median $380.19 Typical High $831.76 | Professional | None | $117.49 | $380.19 | $831.76 |
Where Washington, DC sits
The same service costs 4.9 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
$162
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.