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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $389.05 Typical High $389.05 | Professional | None | $104.71 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $52.48 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $20.89 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $15.85 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $10.47 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $263.03 Typical High $446.68 | Facility | None | $194.98 | $263.03 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | None | $125.89 | $125.89 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $1,230.27 Typical High $1,288.25 | Professional | None | $138.04 | $1,230.27 | $1,288.25 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $213.80 | Professional | None | $125.89 | $125.89 | $213.80 |
Where Washington, DC sits
The same service costs 26.9 times more in Kansas than in New York. 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· 11th of 51
$158
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.