How much rates vary
Facilitymedian $550 · 10th to 90th $87 to $4,074Professionalmedian $87 · 10th to 90th $51 to $219
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 $54.95 Median $1,412.54 Typical High $7,943.28 | Facility | None | $54.95 | $1,412.54 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $87.10 Typical High $213.80 | Professional | None | $54.95 | $87.10 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $28.84 Typical High $43.65 | Professional | 52 · Reduced service | $27.54 | $28.84 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.48 Typical High $17.38 | Professional | 53 · Discontinued | $10.96 | $11.48 | $17.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $43.65 Typical High $64.57 | Professional | 54 · Surgery only | $41.69 | $43.65 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.71 Typical High $12.88 | Professional | 55 · Aftercare only | $8.32 | $8.71 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.75 Typical High $8.71 | Professional | 56 · Pre-op care only | $5.50 | $5.75 | $8.71 |
CareFirst Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $645.65 | Professional | None | $51.29 | $56.23 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $95.50 Typical High $218.78 | Professional | None | $53.70 | $95.50 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $186.21 | Professional | None | $85.11 | $120.23 | $186.21 |
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 $48.98 Median $117.49 Typical High $218.78 | Professional | None | $48.98 | $117.49 | $218.78 |
Where Washington, DC sits
The same service costs 3.2 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· 36th of 51
$87.10
WI $229KY $72.44
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.