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 $151.36 Median $1,698.24 Typical High $4,073.80 | Facility | None | $151.36 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $154.88 Typical High $169.82 | Professional | None | $151.36 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $77.62 Typical High $85.11 | Professional | 52 · Reduced service | $74.13 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.90 Typical High $33.88 | Professional | 53 · Discontinued | $30.20 | $30.90 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $114.82 Typical High $128.82 | Professional | 54 · Surgery only | $112.20 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.91 Typical High $25.70 | Professional | 55 · Aftercare only | $22.39 | $22.91 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.49 Typical High $16.98 | Professional | 56 · Pre-op care only | $15.14 | $15.49 | $16.98 |
CareFirst Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $3,235.94 | Professional | None | $138.04 | $151.36 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $512.86 | Professional | None | $147.91 | $190.55 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $363.08 | Professional | None | $173.78 | $186.21 | $363.08 |
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 $131.83 Median $229.09 Typical High $407.38 | Professional | None | $131.83 | $229.09 | $407.38 |
Where Washington, DC sits
The same service costs 6.3 times more in Oklahoma than in New York. 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
$170
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.