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 $158.49 Median $1,698.24 Typical High $4,073.80 | Facility | None | $158.49 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $165.96 Typical High $204.17 | Professional | None | $158.49 | $165.96 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $83.18 Typical High $102.33 | Professional | 52 · Reduced service | $79.43 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $33.88 Typical High $40.74 | Professional | 53 · Discontinued | $31.62 | $33.88 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $125.89 Typical High $154.88 | Professional | 54 · Surgery only | $120.23 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $25.12 Typical High $30.90 | Professional | 55 · Aftercare only | $23.99 | $25.12 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $16.60 Typical High $20.42 | Professional | 56 · Pre-op care only | $15.85 | $16.60 | $20.42 |
CareFirst Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $645.65 | Professional | None | $128.82 | $158.49 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $501.19 | Professional | None | $144.54 | $208.93 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $407.38 | Professional | None | $194.98 | $208.93 | $407.38 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $5,128.61 | Facility | None | $398.11 | $1,071.52 | $5,128.61 |
United Setting Professional Modifier None Typical Low $131.83 Median $234.42 Typical High $489.78 | Professional | None | $131.83 | $234.42 | $489.78 |
Where Washington, DC sits
The same service costs 3.4 times more in Alaska than in Pennsylvania. 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· 35th of 51
$204
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.