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 $0.74 Median $0.74 Typical High $0.74 | Facility | None | $0.74 | $0.74 | $0.74 |
Aetna Setting Professional Modifier None Typical Low $0.52 Median $0.74 Typical High $0.74 | Professional | None | $0.52 | $0.74 | $0.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.27 Median $0.37 Typical High $0.37 | Professional | 52 · Reduced service | $0.27 | $0.37 | $0.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.11 Median $0.15 Typical High $0.15 | Professional | 53 · Discontinued | $0.11 | $0.15 | $0.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.08 Median $0.11 Typical High $0.11 | Professional | 55 · Aftercare only | $0.08 | $0.11 | $0.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.07 Typical High $0.07 | Professional | 56 · Pre-op care only | $0.05 | $0.07 | $0.07 |
CareFirst Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | None | $0.60 | $0.60 | $0.60 |
Cigna Setting Professional Modifier None Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | None | $0.55 | $0.55 | $0.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.07 Median $1.23 Typical High $2.19 | Professional | None | $1.07 | $1.23 | $2.19 |
United Setting Professional Modifier None Typical Low $0.46 Median $0.55 Typical High $1.00 | Professional | None | $0.46 | $0.55 | $1.00 |
Where Washington, DC sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 33rd of 51
$0.60
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.