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 $61.66 Median $1,698.24 Typical High $4,073.80 | Facility | None | $61.66 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $134.90 Typical High $338.84 | Professional | None | $61.66 | $134.90 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $46.77 Typical High $67.61 | Professional | 52 · Reduced service | $30.90 | $46.77 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $19.05 Typical High $26.92 | Professional | 53 · Discontinued | $12.59 | $19.05 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $70.79 Typical High $102.33 | Professional | 54 · Surgery only | $46.77 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $14.13 Typical High $20.42 | Professional | 55 · Aftercare only | $9.33 | $14.13 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $9.33 Typical High $13.49 | Professional | 56 · Pre-op care only | $6.31 | $9.33 | $13.49 |
CareFirst Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $1,380.38 | Professional | None | $77.62 | $87.10 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $144.54 Typical High $416.87 | Professional | None | $69.18 | $144.54 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $173.78 Typical High $363.08 | Professional | None | $165.96 | $173.78 | $363.08 |
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 $70.79 Median $173.78 Typical High $416.87 | Professional | None | $70.79 | $173.78 | $416.87 |
Where Washington, DC sits
The same service costs 3.3 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· 40th of 51
$145
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.