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 $50.12 Median $1,412.54 Typical High $7,943.28 | Facility | None | $50.12 | $1,412.54 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $100.00 Typical High $257.04 | Professional | None | $50.12 | $100.00 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $27.54 Typical High $53.70 | Professional | 52 · Reduced service | $25.12 | $27.54 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.96 Typical High $21.38 | Professional | 53 · Discontinued | $10.00 | $10.96 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $40.74 Typical High $81.28 | Professional | 54 · Surgery only | $37.15 | $40.74 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $8.13 Typical High $16.22 | Professional | 55 · Aftercare only | $7.41 | $8.13 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.50 Typical High $10.72 | Professional | 56 · Pre-op care only | $5.01 | $5.50 | $10.72 |
CareFirst Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $645.65 | Professional | None | $41.69 | $54.95 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $102.33 Typical High $257.04 | Professional | None | $47.86 | $102.33 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $107.15 Typical High $229.09 | Professional | None | $100.00 | $107.15 | $229.09 |
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 $44.67 Median $112.20 Typical High $257.04 | Professional | None | $44.67 | $112.20 | $257.04 |
Where Washington, DC sits
The same service costs 3.3 times more in Alaska 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· 19th of 51
$102
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.