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 $199.53 Median $1,698.24 Typical High $7,943.28 | Facility | None | $199.53 | $1,698.24 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $199.53 | Professional | None | $186.21 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $93.33 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $38.02 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | 54 · Surgery only | $141.25 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $29.51 Typical High $29.51 | Professional | 55 · Aftercare only | $28.18 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $19.95 Typical High $19.95 | Professional | 56 · Pre-op care only | $18.62 | $19.95 | $19.95 |
CareFirst Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $295.12 | Professional | None | $213.80 | $263.03 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $245.47 Typical High $501.19 | Professional | None | $234.42 | $245.47 | $501.19 |
Where Washington, DC sits
The same service costs 25.7 times more in Oklahoma than in Vermont. 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· 36th of 51
$245
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.