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 $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $25.70 | Professional | None | $16.60 | $16.60 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $8.32 Typical High $12.88 | Professional | 52 · Reduced service | $8.32 | $8.32 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $5.13 | Professional | 53 · Discontinued | $3.31 | $3.31 | $5.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $2.45 Typical High $3.80 | Professional | 55 · Aftercare only | $2.45 | $2.45 | $3.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.66 Median $1.66 Typical High $2.57 | Professional | 56 · Pre-op care only | $1.66 | $1.66 | $2.57 |
CareFirst Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $28.18 | Professional | None | $21.38 | $21.38 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $25.70 | Facility | None | $22.91 | $22.91 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $22.91 | Professional | None | $16.98 | $16.98 | $22.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $34.67 Typical High $79.43 | Professional | None | $26.92 | $34.67 | $79.43 |
United Setting Professional Modifier None Typical Low $13.49 Median $21.88 Typical High $43.65 | Professional | None | $13.49 | $21.88 | $43.65 |
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· 35th of 51
$21.38
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.