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 $63.10 Median $489.78 Typical High $4,073.80 | Facility | None | $63.10 | $489.78 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $162.18 Typical High $208.93 | Professional | None | $63.10 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $72.44 Typical High $97.72 | Professional | 52 · Reduced service | $30.90 | $72.44 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $28.84 Typical High $39.81 | Professional | 53 · Discontinued | $12.59 | $28.84 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $109.65 Typical High $147.91 | Professional | 54 · Surgery only | $46.77 | $109.65 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $21.88 Typical High $29.51 | Professional | 55 · Aftercare only | $9.33 | $21.88 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $14.45 Typical High $19.95 | Professional | 56 · Pre-op care only | $6.31 | $14.45 | $19.95 |
CareFirst Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $85.11 | Professional | None | $63.10 | $70.79 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $186.21 Typical High $398.11 | Professional | None | $63.10 | $186.21 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $218.78 Typical High $467.74 | Professional | None | $213.80 | $218.78 | $467.74 |
United Setting Professional Modifier None Typical Low $56.23 Median $169.82 Typical High $549.54 | Professional | None | $56.23 | $169.82 | $549.54 |
Where Washington, DC sits
The same service costs 2.9 times more in Washington 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· 41st of 51
$151
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.