How much rates vary
Facilitymedian $550 · 10th to 90th $74 to $3,311Professionalmedian $72 · 10th to 90th $30 to $219
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 $67.61 Median $218.78 Typical High $3,311.31 | Facility | None | $67.61 | $218.78 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $79.43 Typical High $213.80 | Professional | None | $31.62 | $79.43 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $27.54 Typical High $42.66 | Professional | 52 · Reduced service | $15.85 | $27.54 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $10.96 Typical High $17.38 | Professional | 53 · Discontinued | $6.31 | $10.96 | $17.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.99 Median $40.74 Typical High $64.57 | Professional | 54 · Surgery only | $23.99 | $40.74 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $8.13 Typical High $12.88 | Professional | 55 · Aftercare only | $4.79 | $8.13 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $5.50 Typical High $8.71 | Professional | 56 · Pre-op care only | $3.16 | $5.50 | $8.71 |
CareFirst Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $645.65 | Professional | None | $30.20 | $33.11 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $81.28 Typical High $229.09 | Professional | None | $30.20 | $81.28 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $89.13 Typical High $181.97 | Professional | None | $85.11 | $89.13 | $181.97 |
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 $32.36 Median $79.43 Typical High $204.17 | Professional | None | $32.36 | $79.43 | $204.17 |
Where Washington, DC sits
The same service costs 3.1 times more in Wisconsin than in Nebraska. 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· 36th of 51
$79.43
WI $186NE $60.26
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.