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 $95.50 Median $295.12 Typical High $3,311.31 | Facility | None | $95.50 | $295.12 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $95.50 Typical High $239.88 | Professional | None | $40.74 | $95.50 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $33.88 Typical High $47.86 | Professional | 52 · Reduced service | $20.42 | $33.88 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $13.49 Typical High $19.05 | Professional | 53 · Discontinued | $8.32 | $13.49 | $19.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $50.12 Typical High $72.44 | Professional | 54 · Surgery only | $30.90 | $50.12 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $10.00 Typical High $14.45 | Professional | 55 · Aftercare only | $6.17 | $10.00 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.76 Typical High $9.55 | Professional | 56 · Pre-op care only | $4.07 | $6.76 | $9.55 |
CareFirst Setting Professional Modifier None Typical Low $50.12 Median $56.23 Typical High $630.96 | Professional | None | $50.12 | $56.23 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $102.33 Typical High $295.12 | Professional | None | $45.71 | $102.33 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $120.23 Typical High $257.04 | Professional | None | $114.82 | $120.23 | $257.04 |
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 $47.86 Median $109.65 Typical High $275.42 | Professional | None | $47.86 | $109.65 | $275.42 |
Where Washington, DC sits
The same service costs 3.2 times more in Alaska than in New York. 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· 36th of 51
$95.50
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.