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 $75.86 Median $1,698.24 Typical High $4,073.80 | Facility | None | $75.86 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $87.10 Typical High $181.97 | Professional | None | $75.86 | $87.10 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $43.65 Typical High $91.20 | Professional | 52 · Reduced service | $38.02 | $43.65 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $17.78 Typical High $36.31 | Professional | 53 · Discontinued | $15.14 | $17.78 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $66.07 Typical High $138.04 | Professional | 54 · Surgery only | $56.23 | $66.07 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $13.18 Typical High $27.54 | Professional | 55 · Aftercare only | $11.22 | $13.18 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $8.71 Typical High $18.20 | Professional | 56 · Pre-op care only | $7.59 | $8.71 | $18.20 |
CareFirst Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $645.65 | Professional | None | $64.57 | $79.43 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $173.78 Typical High $478.63 | Professional | None | $74.13 | $173.78 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $190.55 Typical High $380.19 | Professional | None | $181.97 | $190.55 | $380.19 |
United Setting Facility Modifier None Typical Low $109.65 Median $549.54 Typical High $1,548.82 | Facility | None | $109.65 | $549.54 | $1,548.82 |
United Setting Professional Modifier None Typical Low $66.07 Median $162.18 Typical High $407.38 | Professional | None | $66.07 | $162.18 | $407.38 |
Where Washington, DC sits
The same service costs 3.6 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· 33rd of 51
$148
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.