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 $85.11 Median $1,412.54 Typical High $7,943.28 | Facility | None | $85.11 | $1,412.54 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $158.49 Typical High $707.95 | Professional | None | $85.11 | $158.49 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $79.43 Typical High $354.81 | Professional | 52 · Reduced service | $42.66 | $79.43 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $31.62 Typical High $141.25 | Professional | 53 · Discontinued | $16.98 | $31.62 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $117.49 Typical High $537.03 | Professional | 54 · Surgery only | $64.57 | $117.49 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $23.44 Typical High $107.15 | Professional | 55 · Aftercare only | $12.88 | $23.44 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $15.85 Typical High $70.79 | Professional | 56 · Pre-op care only | $8.51 | $15.85 | $70.79 |
CareFirst Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | None | $87.10 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $263.03 Typical High $2,041.74 | Professional | None | $81.28 | $263.03 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $831.76 Typical High $1,659.59 | Professional | None | $794.33 | $831.76 | $1,659.59 |
United Setting Facility Modifier None Typical Low $645.65 Median $2,344.23 Typical High $16,218.10 | Facility | None | $645.65 | $2,344.23 | $16,218.10 |
United Setting Professional Modifier None Typical Low $85.11 Median $251.19 Typical High $1,905.46 | Professional | None | $85.11 | $251.19 | $1,905.46 |
Where Washington, DC sits
The same service costs 9.5 times more in Washington than in Washington, DC. 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· 51st of 51
$97.72
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.