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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $309.03 | Professional | None | $151.36 | $186.21 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $93.33 Typical High $120.23 | Professional | 52 · Reduced service | $75.86 | $93.33 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $37.15 Typical High $48.98 | Professional | 53 · Discontinued | $30.20 | $37.15 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $28.18 Typical High $36.31 | Professional | 55 · Aftercare only | $22.91 | $28.18 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $18.62 Typical High $24.55 | Professional | 56 · Pre-op care only | $15.14 | $18.62 | $24.55 |
CareFirst Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $245.47 | Professional | None | $186.21 | $186.21 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $269.15 | Facility | None | $245.47 | $245.47 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None | $177.83 | $177.83 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $691.83 | Professional | None | $234.42 | $302.00 | $691.83 |
United Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $309.03 | Professional | None | $158.49 | $223.87 | $309.03 |
Where Washington, DC sits
The same service costs 3.6 times more in Hawaii than in Tennessee. 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· 45th of 51
$186
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.