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 $3,090.30 Typical High $7,943.28 | Facility | None | $1,412.54 | $3,090.30 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,818.38 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,412.54 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,412.54 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $616.60 Typical High $616.60 | Professional | 53 · Discontinued | $562.34 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,137.96 Median $2,290.87 Typical High $2,290.87 | Professional | 54 · Surgery only | $2,137.96 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $426.58 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | 56 · Pre-op care only | $281.84 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $2,137.96 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,995.26 | $2,137.96 | $2,137.96 |
CareFirst Setting Professional Modifier None Typical Low $2,630.27 Median $2,884.03 Typical High $3,311.31 | Professional | None | $2,630.27 | $2,884.03 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,398.83 Median $2,691.53 Typical High $6,025.60 | Professional | None | $2,398.83 | $2,691.53 | $6,025.60 |
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 $1,949.84 Median $2,454.71 Typical High $6,760.83 | Professional | None | $1,949.84 | $2,454.71 | $6,760.83 |
Where Washington, DC sits
The same service costs 26.9 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· 33rd of 51
$2,884
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.