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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $263.03 | Professional | None | $125.89 | $141.25 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $70.79 Typical High $89.13 | Professional | 52 · Reduced service | $63.10 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $28.18 Typical High $35.48 | Professional | 53 · Discontinued | $25.12 | $28.18 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $21.38 Typical High $26.30 | Professional | 55 · Aftercare only | $19.05 | $21.38 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $14.13 Typical High $17.78 | Professional | 56 · Pre-op care only | $12.59 | $14.13 | $17.78 |
CareFirst Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $186.21 | Professional | None | $144.54 | $144.54 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $186.21 | Facility | None | $165.96 | $165.96 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $165.96 | Professional | None | $120.23 | $120.23 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $524.81 | Professional | None | $177.83 | $229.09 | $524.81 |
United Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $234.42 | Professional | None | $120.23 | $165.96 | $234.42 |
Where Washington, DC sits
The same service costs 2.8 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· 47th of 51
$145
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.