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 $100.00 Median $1,698.24 Typical High $4,073.80 | Facility | None | $100.00 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $380.19 | Professional | None | $100.00 | $151.36 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $50.12 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $19.95 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $114.82 Typical High $114.82 | Professional | 54 · Surgery only | $74.13 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $15.14 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $10.00 | $15.14 | $15.14 |
CareFirst Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $1,380.38 | Professional | None | $123.03 | $138.04 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $186.21 Typical High $478.63 | Professional | None | $112.20 | $186.21 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $204.17 Typical High $416.87 | Professional | None | $194.98 | $204.17 | $416.87 |
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 $114.82 Median $223.87 Typical High $467.74 | Professional | None | $114.82 | $223.87 | $467.74 |
Where Washington, DC sits
The same service costs 3.7 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
$162
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.