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 $138.04 Median $1,698.24 Typical High $4,786.30 | Facility | None | $138.04 | $1,698.24 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $338.84 Typical High $776.25 | Professional | None | $138.04 | $338.84 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $81.28 Typical High $173.78 | Professional | 52 · Reduced service | $69.18 | $81.28 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $32.36 Typical High $69.18 | Professional | 53 · Discontinued | $28.18 | $32.36 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $123.03 Typical High $257.04 | Professional | 54 · Surgery only | $104.71 | $123.03 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $24.55 Typical High $51.29 | Professional | 55 · Aftercare only | $20.89 | $24.55 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $16.22 Typical High $34.67 | Professional | 56 · Pre-op care only | $13.80 | $16.22 | $34.67 |
CareFirst Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $2,570.40 | Professional | None | $128.82 | $141.25 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $302.00 Typical High $912.01 | Professional | None | $138.04 | $302.00 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $707.95 | Professional | None | $302.00 | $323.59 | $707.95 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $5,754.40 Typical High $27,542.29 | Facility | None | $1,288.25 | $5,754.40 | $27,542.29 |
United Setting Professional Modifier None Typical Low $123.03 Median $316.23 Typical High $812.83 | Professional | None | $123.03 | $316.23 | $812.83 |
Where Washington, DC sits
The same service costs 3.1 times more in Wisconsin than in Utah. 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· 31st of 51
$316
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.