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 $190.55 Median $1,698.24 Typical High $4,073.80 | Facility | None | $190.55 | $1,698.24 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $436.52 | Professional | None | $190.55 | $223.87 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $112.20 Typical High $218.78 | Professional | 52 · Reduced service | $95.50 | $112.20 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $44.67 Typical High $87.10 | Professional | 53 · Discontinued | $38.02 | $44.67 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $165.96 Typical High $323.59 | Professional | 54 · Surgery only | $144.54 | $165.96 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $33.11 Typical High $64.57 | Professional | 55 · Aftercare only | $28.84 | $33.11 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $22.39 Typical High $43.65 | Professional | 56 · Pre-op care only | $19.05 | $22.39 | $43.65 |
CareFirst Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $707.95 | Professional | None | $331.13 | $331.13 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $954.99 | Professional | None | $338.84 | $354.81 | $954.99 |
United Setting Facility Modifier None Typical Low $109.65 Median $549.54 Typical High $1,548.82 | Facility | None | $109.65 | $549.54 | $1,548.82 |
United Setting Professional Modifier None Typical Low $194.98 Median $478.63 Typical High $1,023.29 | Professional | None | $194.98 | $478.63 | $1,023.29 |
Where Washington, DC sits
The same service costs 2.8 times more in Wisconsin 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· 14th of 51
$437
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.