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 $234.42 Median $2,818.38 Typical High $4,786.30 | Facility | None | $234.42 | $2,818.38 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $338.84 Typical High $354.81 | Professional | None | $234.42 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $165.96 Typical High $169.82 | Professional | 52 · Reduced service | $117.49 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $46.77 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $251.19 Typical High $251.19 | Professional | 54 · Surgery only | $173.78 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $34.67 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $23.44 | $33.88 | $33.88 |
CareFirst Setting Professional Modifier None Typical Low $281.84 Median $309.03 Typical High $3,235.94 | Professional | None | $281.84 | $309.03 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $426.58 Typical High $1,096.48 | Professional | None | $263.03 | $426.58 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $912.01 | Professional | None | $426.58 | $446.68 | $912.01 |
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 $263.03 Median $562.34 Typical High $1,071.52 | Professional | None | $263.03 | $562.34 | $1,071.52 |
Where Washington, DC sits
The same service costs 3.9 times more in Alaska than in New York. 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· 48th of 51
$372
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.