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 $263.03 Typical High $660.69 | Professional | None | $151.36 | $263.03 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $79.43 Typical High $131.83 | Professional | 52 · Reduced service | $75.86 | $79.43 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $31.62 Typical High $52.48 | Professional | 53 · Discontinued | $30.20 | $31.62 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $120.23 Typical High $199.53 | Professional | 54 · Surgery only | $114.82 | $120.23 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $23.99 Typical High $39.81 | Professional | 55 · Aftercare only | $22.91 | $23.99 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.85 Typical High $26.30 | Professional | 56 · Pre-op care only | $15.14 | $15.85 | $26.30 |
CareFirst Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $851.14 | Professional | None | $128.82 | $144.54 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $239.88 Typical High $645.65 | Professional | None | $138.04 | $239.88 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $288.40 Typical High $512.86 | Professional | None | $269.15 | $288.40 | $512.86 |
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 $125.89 Median $263.03 Typical High $616.60 | Professional | None | $125.89 | $263.03 | $616.60 |
Where Washington, DC sits
The same service costs 3.1 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· 23rd of 51
$251
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.