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 $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $20.42 Typical High $20.42 | Professional | None | $12.02 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $6.03 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.78 Median $3.09 Typical High $3.09 | Professional | 55 · Aftercare only | $1.78 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $2.04 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.20 | $2.04 | $2.04 |
CareFirst Setting Professional Modifier None Typical Low $28.18 Median $31.62 Typical High $31.62 | Professional | None | $28.18 | $31.62 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $30.90 | Professional | None | $21.38 | $23.99 | $30.90 |
Where Washington, DC sits
The same service costs 14.5 times more in Texas 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· 23rd of 51
$28.18
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.