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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $204.17 Typical High $363.08 | Professional | None | $154.88 | $204.17 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $102.33 Typical High $107.15 | Professional | 52 · Reduced service | $77.62 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $40.74 Typical High $42.66 | Professional | 53 · Discontinued | $30.90 | $40.74 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $30.20 Typical High $32.36 | Professional | 55 · Aftercare only | $23.44 | $30.20 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $20.42 Typical High $21.38 | Professional | 56 · Pre-op care only | $15.49 | $20.42 | $21.38 |
CareFirst Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $263.03 | Professional | None | $204.17 | $204.17 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $302.00 | Facility | None | $269.15 | $269.15 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | None | $199.53 | $199.53 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $331.13 Typical High $758.58 | Professional | None | $251.19 | $331.13 | $758.58 |
United Setting Professional Modifier None Typical Low $169.82 Median $234.42 Typical High $338.84 | Professional | None | $169.82 | $234.42 | $338.84 |
Where Washington, DC sits
The same service costs 2.0 times more in Wisconsin than in Colorado. 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
$204
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.