How much rates vary
Facilitymedian $550 · 10th to 90th $83 to $4,074Professionalmedian $79 · 10th to 90th $41 to $214
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 $43.65 Median $1,412.54 Typical High $7,943.28 | Facility | None | $43.65 | $1,412.54 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $48.98 Typical High $83.18 | Professional | None | $43.65 | $48.98 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $24.55 Typical High $41.69 | Professional | 52 · Reduced service | $21.88 | $24.55 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.77 Typical High $16.60 | Professional | 53 · Discontinued | $8.71 | $9.77 | $16.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $32.36 Median $37.15 Typical High $61.66 | Professional | 54 · Surgery only | $32.36 | $37.15 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $7.41 Typical High $12.59 | Professional | 55 · Aftercare only | $6.46 | $7.41 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.90 Typical High $8.32 | Professional | 56 · Pre-op care only | $4.37 | $4.90 | $8.32 |
CareFirst Setting Professional Modifier None Typical Low $40.74 Median $45.71 Typical High $645.65 | Professional | None | $40.74 | $45.71 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $79.43 Typical High $218.78 | Professional | None | $41.69 | $79.43 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $173.78 | Professional | None | $83.18 | $89.13 | $173.78 |
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 $38.02 Median $87.10 Typical High $199.53 | Professional | None | $38.02 | $87.10 | $199.53 |
Where Washington, DC sits
The same service costs 3.4 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· 26th of 51
$83.18
WI $209KY $61.66
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.