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 $141.25 Median $1,698.24 Typical High $4,073.80 | Facility | None | $141.25 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $549.54 | Professional | None | $141.25 | $190.55 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $95.50 Typical High $275.42 | Professional | 52 · Reduced service | $70.79 | $95.50 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $38.90 Typical High $109.65 | Professional | 53 · Discontinued | $28.84 | $38.90 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $144.54 Typical High $416.87 | Professional | 54 · Surgery only | $107.15 | $144.54 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $28.84 Typical High $83.18 | Professional | 55 · Aftercare only | $21.38 | $28.84 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $19.05 Typical High $54.95 | Professional | 56 · Pre-op care only | $14.13 | $19.05 | $54.95 |
CareFirst Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $223.87 | Professional | None | $134.90 | $151.36 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $478.63 Typical High $1,445.44 | Professional | None | $138.04 | $478.63 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $1,380.38 | Professional | None | $524.81 | $549.54 | $1,380.38 |
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 $141.25 Median $407.38 Typical High $1,348.96 | Professional | None | $141.25 | $407.38 | $1,348.96 |
Where Washington, DC sits
The same service costs 3.5 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· 48th of 51
$339
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.