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 $151.36 Median $3,090.30 Typical High $6,606.93 | Facility | None | $151.36 | $3,090.30 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $302.00 Typical High $758.58 | Professional | None | $151.36 | $302.00 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $114.82 Typical High $151.36 | Professional | 52 · Reduced service | $75.86 | $114.82 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $46.77 Typical High $61.66 | Professional | 53 · Discontinued | $30.20 | $46.77 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $173.78 Typical High $229.09 | Professional | 54 · Surgery only | $112.20 | $173.78 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $34.67 Typical High $45.71 | Professional | 55 · Aftercare only | $22.39 | $34.67 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $23.44 Typical High $30.90 | Professional | 56 · Pre-op care only | $15.14 | $23.44 | $30.90 |
CareFirst Setting Professional Modifier None Typical Low $177.83 Median $194.98 Typical High $2,398.83 | Professional | None | $177.83 | $194.98 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $331.13 Typical High $933.25 | Professional | None | $165.96 | $331.13 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $812.83 | Professional | None | $380.19 | $398.11 | $812.83 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $5,754.40 Typical High $27,542.29 | Facility | None | $1,288.25 | $5,754.40 | $27,542.29 |
United Setting Professional Modifier None Typical Low $173.78 Median $416.87 Typical High $933.25 | Professional | None | $173.78 | $416.87 | $933.25 |
Where Washington, DC sits
The same service costs 3.4 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
$324
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.