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 $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $4.47 Typical High $5.75 | Professional | None | $3.24 | $4.47 | $5.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $2.24 Typical High $2.88 | Professional | 52 · Reduced service | $1.62 | $2.24 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.89 Typical High $0.95 | Professional | 53 · Discontinued | $0.65 | $0.89 | $0.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.48 Median $0.68 Typical High $0.72 | Professional | 55 · Aftercare only | $0.48 | $0.68 | $0.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.45 Typical High $0.48 | Professional | 56 · Pre-op care only | $0.32 | $0.45 | $0.48 |
CareFirst Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.68 | Professional | None | $4.47 | $4.47 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.98 | Professional | None | $3.39 | $3.39 | $3.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.37 Median $5.75 Typical High $13.18 | Professional | None | $5.37 | $5.75 | $13.18 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.55 Typical High $6.76 | Professional | None | $2.19 | $3.55 | $6.76 |
Where Washington, DC sits
The same service costs 2.1 times more in Kansas than in Alabama. 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· 23rd of 51
$4.47
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.