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 $204.17 Median $2,818.38 Typical High $4,786.30 | Facility | None | $204.17 | $2,818.38 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $389.05 Typical High $891.25 | Professional | None | $204.17 | $389.05 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $117.49 Typical High $194.98 | Professional | 52 · Reduced service | $102.33 | $117.49 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $46.77 Typical High $77.62 | Professional | 53 · Discontinued | $40.74 | $46.77 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $177.83 Typical High $295.12 | Professional | 54 · Surgery only | $154.88 | $177.83 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $35.48 Typical High $58.88 | Professional | 55 · Aftercare only | $30.90 | $35.48 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $23.44 Typical High $38.90 | Professional | 56 · Pre-op care only | $20.42 | $23.44 | $38.90 |
CareFirst Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $2,089.30 | Professional | None | $190.55 | $208.93 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $354.81 Typical High $1,023.29 | Professional | None | $199.53 | $354.81 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $371.54 Typical High $812.83 | Professional | None | $346.74 | $371.54 | $812.83 |
United Setting Facility Modifier None Typical Low $537.03 Median $2,511.89 Typical High $27,542.29 | Facility | None | $537.03 | $2,511.89 | $27,542.29 |
United Setting Professional Modifier None Typical Low $181.97 Median $398.11 Typical High $933.25 | Professional | None | $181.97 | $398.11 | $933.25 |
Where Washington, DC sits
The same service costs 3.0 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· 25th of 51
$389
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.