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 $208.93 Median $2,818.38 Typical High $4,786.30 | Facility | None | $208.93 | $2,818.38 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $398.11 | Professional | None | $208.93 | $234.42 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $117.49 Typical High $199.53 | Professional | 52 · Reduced service | $104.71 | $117.49 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $46.77 Typical High $79.43 | Professional | 53 · Discontinued | $42.66 | $46.77 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $173.78 Typical High $295.12 | Professional | 54 · Surgery only | $158.49 | $173.78 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $35.48 Typical High $58.88 | Professional | 55 · Aftercare only | $31.62 | $35.48 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $23.44 Typical High $39.81 | Professional | 56 · Pre-op care only | $20.89 | $23.44 | $39.81 |
CareFirst Setting Professional Modifier None Typical Low $194.98 Median $213.80 Typical High $2,570.40 | Professional | None | $194.98 | $213.80 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $354.81 Typical High $1,047.13 | Professional | None | $208.93 | $354.81 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $371.54 Typical High $812.83 | Professional | None | $354.81 | $371.54 | $812.83 |
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 $186.21 Median $398.11 Typical High $933.25 | Professional | None | $186.21 | $398.11 | $933.25 |
Where Washington, DC sits
The same service costs 3.6 times more in Oklahoma 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· 37th of 51
$355
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.