How much rates vary
Facilitymedian $550 · 10th to 90th $87 to $3,311Professionalmedian $102 · 10th to 90th $58 to $282
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 $87.10 Median $269.15 Typical High $3,311.31 | Facility | None | $87.10 | $269.15 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $87.10 Typical High $218.78 | Professional | None | $51.29 | $87.10 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $25.70 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $10.47 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $64.57 Typical High $66.07 | Professional | 54 · Surgery only | $38.90 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $7.76 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $5.13 | $8.71 | $8.71 |
CareFirst Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $645.65 | Professional | None | $63.10 | $70.79 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $131.83 Typical High $269.15 | Professional | None | $57.54 | $131.83 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $234.42 | Professional | None | $104.71 | $109.65 | $234.42 |
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 $66.07 Median $128.82 Typical High $269.15 | Professional | None | $66.07 | $128.82 | $269.15 |
Where Washington, DC sits
The same service costs 3.0 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· 31st of 51
$115
WI $282KY $93.33
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.