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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $407.38 | Professional | None | $234.42 | $234.42 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $204.17 | Professional | 52 · Reduced service | $117.49 | $117.49 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $81.28 | Professional | 53 · Discontinued | $46.77 | $46.77 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $60.26 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $40.74 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $40.74 |
CareFirst Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $398.11 | Professional | None | $302.00 | $302.00 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $398.11 | Facility | None | $371.54 | $371.54 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $1,122.02 | Professional | None | $380.19 | $489.78 | $1,122.02 |
United Setting Professional Modifier None Typical Low $190.55 Median $309.03 Typical High $616.60 | Professional | None | $190.55 | $309.03 | $616.60 |
Where Washington, DC sits
The same service costs 3.0 times more in Hawaii 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· 43rd of 51
$302
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.