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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $512.86 | Professional | None | $371.54 | $457.09 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $229.09 Typical High $257.04 | Professional | 52 · Reduced service | $186.21 | $229.09 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $91.20 Typical High $104.71 | Professional | 53 · Discontinued | $74.13 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $69.18 Typical High $77.62 | Professional | 55 · Aftercare only | $56.23 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $45.71 Typical High $51.29 | Professional | 56 · Pre-op care only | $37.15 | $45.71 | $51.29 |
CareFirst Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $602.56 | Professional | None | $467.74 | $467.74 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $645.65 | Facility | None | $588.84 | $588.84 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $588.84 | Professional | None | $426.58 | $426.58 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $1,698.24 | Professional | None | $575.44 | $741.31 | $1,698.24 |
United Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $758.58 | Professional | None | $389.05 | $549.54 | $758.58 |
Where Washington, DC sits
The same service costs 2.8 times more in Hawaii than in West Virginia. 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· 46th of 51
$468
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.