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 $165.96 Median $1,698.24 Typical High $7,943.28 | Facility | None | $165.96 | $1,698.24 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $165.96 Typical High $165.96 | Professional | None | $162.18 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $81.28 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $32.36 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $123.03 Typical High $123.03 | Professional | 54 · Surgery only | $120.23 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $24.55 Typical High $24.55 | Professional | 55 · Aftercare only | $23.99 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.60 Typical High $16.60 | Professional | 56 · Pre-op care only | $16.22 | $16.60 | $16.60 |
CareFirst Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $229.09 | Professional | None | $181.97 | $204.17 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $204.17 Typical High $416.87 | Professional | None | $194.98 | $204.17 | $416.87 |
Where Washington, DC sits
The same service costs 7.6 times more in Nebraska than in West Virginia. 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· 34th of 51
$204
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.