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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $407.38 | Professional | None | $281.84 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $141.25 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $56.23 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $42.66 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $28.18 | $40.74 | $40.74 |
CareFirst Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $537.03 | Professional | None | $407.38 | $407.38 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $537.03 | Facility | None | $489.78 | $489.78 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $489.78 | Professional | None | $354.81 | $354.81 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $1,513.56 | Professional | None | $501.19 | $660.69 | $1,513.56 |
United Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $676.08 | Professional | None | $338.84 | $457.09 | $676.08 |
Where Washington, DC sits
The same service costs 2.4 times more in Iowa than in Kansas. 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· 32nd of 51
$407
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.