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 $3.16 Median $4.47 Typical High $5.62 | Professional | None | $3.16 | $4.47 | $5.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.58 Median $2.19 Typical High $2.82 | Professional | 52 · Reduced service | $1.58 | $2.19 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.63 Median $0.87 Typical High $0.93 | Professional | 53 · Discontinued | $0.63 | $0.87 | $0.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.48 Median $0.66 Typical High $0.85 | Professional | 55 · Aftercare only | $0.48 | $0.66 | $0.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.44 Typical High $0.47 | Professional | 56 · Pre-op care only | $0.32 | $0.44 | $0.47 |
CareFirst Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.57 | Professional | None | $4.27 | $4.27 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | None | $4.17 | $4.17 | $4.17 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.89 | Professional | None | $3.31 | $3.31 | $3.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.25 Median $5.62 Typical High $12.88 | Professional | None | $5.25 | $5.62 | $12.88 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.80 Typical High $6.76 | Professional | None | $2.19 | $3.80 | $6.76 |
Where Washington, DC sits
The same service costs 2.1 times more in Montana than in New Jersey. 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· 25th of 51
$4.27
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.