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 $91.20 Median $1,698.24 Typical High $4,073.80 | Facility | None | $91.20 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $125.89 | Professional | None | $85.11 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $52.48 Typical High $63.10 | Professional | 52 · Reduced service | $41.69 | $52.48 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $20.89 Typical High $25.12 | Professional | 53 · Discontinued | $16.98 | $20.89 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $77.62 Typical High $93.33 | Professional | 54 · Surgery only | $63.10 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $15.49 Typical High $18.62 | Professional | 55 · Aftercare only | $12.59 | $15.49 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $10.47 Typical High $12.59 | Professional | 56 · Pre-op care only | $8.32 | $10.47 | $12.59 |
CareFirst Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $537.03 | Professional | None | $77.62 | $87.10 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $288.40 | Professional | None | $83.18 | $114.82 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $245.47 | Professional | None | $117.49 | $117.49 | $245.47 |
United Setting Facility Modifier None Typical Low $165.96 Median $549.54 Typical High $5,888.44 | Facility | None | $165.96 | $549.54 | $5,888.44 |
United Setting Professional Modifier None Typical Low $74.13 Median $134.90 Typical High $295.12 | Professional | None | $74.13 | $134.90 | $295.12 |
Where Washington, DC sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 32nd of 51
$115
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.