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 $131.83 Median $2,818.38 Typical High $4,786.30 | Facility | None | $131.83 | $2,818.38 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $870.96 Typical High $1,584.89 | Professional | None | $131.83 | $870.96 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $416.87 Typical High $794.33 | Professional | 52 · Reduced service | $66.07 | $416.87 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $165.96 Typical High $316.23 | Professional | 53 · Discontinued | $26.92 | $165.96 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $616.60 Typical High $1,202.26 | Professional | 54 · Surgery only | $100.00 | $616.60 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $125.89 Typical High $239.88 | Professional | 55 · Aftercare only | $19.95 | $125.89 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $83.18 Typical High $158.49 | Professional | 56 · Pre-op care only | $13.18 | $83.18 | $158.49 |
CareFirst Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $151.36 | Professional | None | $120.23 | $131.83 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $309.03 Typical High $1,445.44 | Professional | None | $117.49 | $309.03 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $2,951.21 | Professional | None | $1,202.26 | $1,348.96 | $2,951.21 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $5,128.61 | Facility | None | $398.11 | $1,071.52 | $5,128.61 |
United Setting Professional Modifier None Typical Low $104.71 Median $758.58 Typical High $1,862.09 | Professional | None | $104.71 | $758.58 | $1,862.09 |
Where Washington, DC sits
The same service costs 11.7 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
$151
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.