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 $144.54 Median $1,698.24 Typical High $4,073.80 | Facility | None | $144.54 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $257.04 Typical High $338.84 | Professional | None | $141.25 | $257.04 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $128.82 Typical High $169.82 | Professional | 52 · Reduced service | $70.79 | $128.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $51.29 Typical High $67.61 | Professional | 53 · Discontinued | $28.18 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $190.55 Typical High $257.04 | Professional | 54 · Surgery only | $104.71 | $190.55 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $38.02 Typical High $51.29 | Professional | 55 · Aftercare only | $20.89 | $38.02 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $25.70 Typical High $33.88 | Professional | 56 · Pre-op care only | $14.13 | $25.70 | $33.88 |
CareFirst Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $630.96 | Professional | None | $134.90 | $151.36 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $288.40 Typical High $707.95 | Professional | None | $128.82 | $288.40 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $741.31 | Professional | None | $323.59 | $363.08 | $741.31 |
United Setting Facility Modifier None Typical Low $165.96 Median $549.54 Typical High $5,888.44 | Facility | None | $165.96 | $549.54 | $5,888.44 |
United Setting Professional Modifier None Typical Low $147.91 Median $338.84 Typical High $794.33 | Professional | None | $147.91 | $338.84 | $794.33 |
Where Washington, DC sits
The same service costs 3.5 times more in Alaska than in Virginia. 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
$288
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.