How much rates vary
Facilitymedian $550 · 10th to 90th $110 to $3,311Professionalmedian $107 · 10th to 90th $54 to $282
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 $54.95 Median $1,548.82 Typical High $3,311.31 | Facility | None | $54.95 | $1,548.82 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $109.65 Typical High $269.15 | Professional | None | $54.95 | $109.65 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $31.62 Typical High $54.95 | Professional | 52 · Reduced service | $27.54 | $31.62 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.59 Typical High $21.88 | Professional | 53 · Discontinued | $10.96 | $12.59 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $47.86 Typical High $81.28 | Professional | 54 · Surgery only | $40.74 | $47.86 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $9.55 Typical High $16.22 | Professional | 55 · Aftercare only | $8.32 | $9.55 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.31 Typical High $10.96 | Professional | 56 · Pre-op care only | $5.50 | $6.31 | $10.96 |
CareFirst Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $645.65 | Professional | None | $53.70 | $58.88 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $104.71 Typical High $288.40 | Professional | None | $53.70 | $104.71 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $114.82 Typical High $229.09 | Professional | None | $109.65 | $114.82 | $229.09 |
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 $53.70 Median $117.49 Typical High $257.04 | Professional | None | $53.70 | $117.49 | $257.04 |
Where Washington, DC sits
The same service costs 2.8 times more in Wisconsin than in Kentucky. 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· 28th of 51
$110
WI $257KY $91.20
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.