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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $120.23 | Professional | None | $77.62 | $77.62 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $60.26 | Professional | 52 · Reduced service | $38.90 | $38.90 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $23.99 | Professional | 53 · Discontinued | $15.49 | $15.49 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $17.78 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $12.02 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $12.02 |
CareFirst Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $131.83 | Professional | None | $100.00 | $100.00 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $120.23 | Facility | None | $107.15 | $107.15 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $107.15 | Professional | None | $79.43 | $79.43 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $371.54 | Professional | None | $125.89 | $162.18 | $371.54 |
United Setting Professional Modifier None Typical Low $63.10 Median $102.33 Typical High $204.17 | Professional | None | $63.10 | $102.33 | $204.17 |
Where Washington, DC sits
The same service costs 2.6 times more in Montana than in Delaware. 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· 30th of 51
$100
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.