How much rates vary
Facilitymedian $550 · 10th to 90th $65 to $4,074Professionalmedian $65 · 10th to 90th $39 to $204
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 $38.02 Median $1,412.54 Typical High $7,943.28 | Facility | None | $38.02 | $1,412.54 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $64.57 Typical High $158.49 | Professional | None | $38.02 | $64.57 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $28.84 Typical High $31.62 | Professional | 52 · Reduced service | $19.05 | $28.84 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $11.48 Typical High $12.88 | Professional | 53 · Discontinued | $7.59 | $11.48 | $12.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.18 Median $42.66 Typical High $47.86 | Professional | 54 · Surgery only | $28.18 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $8.71 Typical High $9.55 | Professional | 55 · Aftercare only | $5.62 | $8.71 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $5.75 Typical High $6.46 | Professional | 56 · Pre-op care only | $3.80 | $5.75 | $6.46 |
CareFirst Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $645.65 | Professional | None | $46.77 | $51.29 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $74.13 Typical High $199.53 | Professional | None | $41.69 | $74.13 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $173.78 | Professional | None | $75.86 | $79.43 | $173.78 |
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 $43.65 Median $91.20 Typical High $194.98 | Professional | None | $43.65 | $91.20 | $194.98 |
Where Washington, DC sits
The same service costs 3.1 times more in Wisconsin than in Washington, DC. 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· 51st of 51
$64.57
WI $200DC $64.57
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.