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 $331.13 Median $407.38 Typical High $707.95 | Professional | None | $331.13 | $407.38 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $204.17 Typical High $229.09 | Professional | 52 · Reduced service | $165.96 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $81.28 Typical High $91.20 | Professional | 53 · Discontinued | $66.07 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $61.66 Typical High $69.18 | Professional | 55 · Aftercare only | $48.98 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $40.74 Typical High $45.71 | Professional | 56 · Pre-op care only | $33.11 | $40.74 | $45.71 |
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 $660.69 Median $660.69 Typical High $741.31 | Facility | None | $660.69 | $660.69 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $660.69 | Professional | None | $489.78 | $489.78 | $660.69 |
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 $346.74 Median $478.63 Typical High $676.08 | Professional | None | $346.74 | $478.63 | $676.08 |
Where Washington, DC sits
The same service costs 4.1 times more in Hawaii 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· 49th 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.