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 $53.70 Median $1,698.24 Typical High $4,073.80 | Facility | None | $53.70 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $89.13 Typical High $223.87 | Professional | None | $53.70 | $89.13 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $41.69 Typical High $44.67 | Professional | 52 · Reduced service | $26.92 | $41.69 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $16.60 Typical High $17.78 | Professional | 53 · Discontinued | $10.72 | $16.60 | $17.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $63.10 Typical High $66.07 | Professional | 54 · Surgery only | $39.81 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $12.59 Typical High $13.18 | Professional | 55 · Aftercare only | $8.13 | $12.59 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $8.32 Typical High $8.91 | Professional | 56 · Pre-op care only | $5.37 | $8.32 | $8.91 |
CareFirst Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $1,698.24 | Professional | None | $66.07 | $74.13 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $102.33 Typical High $275.42 | Professional | None | $60.26 | $102.33 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $239.88 | Professional | None | $112.20 | $117.49 | $239.88 |
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 $61.66 Median $128.82 Typical High $275.42 | Professional | None | $61.66 | $128.82 | $275.42 |
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· 49th of 51
$91.20
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.