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 $45.71 Median $1,548.82 Typical High $3,311.31 | Facility | None | $45.71 | $1,548.82 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $95.50 Typical High $100.00 | Professional | None | $45.71 | $95.50 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $42.66 Typical High $48.98 | Professional | 52 · Reduced service | $22.91 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $16.98 Typical High $19.50 | Professional | 53 · Discontinued | $9.12 | $16.98 | $19.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $63.10 Typical High $74.13 | Professional | 54 · Surgery only | $34.67 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $12.88 Typical High $14.79 | Professional | 55 · Aftercare only | $6.92 | $12.88 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $8.51 Typical High $9.77 | Professional | 56 · Pre-op care only | $4.57 | $8.51 | $9.77 |
CareFirst Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $66.07 | Professional | None | $42.66 | $46.77 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $95.50 Typical High $154.88 | Professional | None | $44.67 | $95.50 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $173.78 | Professional | None | $89.13 | $100.00 | $173.78 |
United Setting Facility Modifier None Typical Low $165.96 Median $549.54 Typical High $5,888.44 | Facility | None | $165.96 | $549.54 | $5,888.44 |
United Setting Professional Modifier None Typical Low $39.81 Median $81.28 Typical High $165.96 | Professional | None | $39.81 | $81.28 | $165.96 |
Where Washington, DC sits
The same service costs 2.5 times more in North Carolina than in Florida. 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· 49th of 51
$77.62
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.