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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $131.83 | Professional | None | $97.72 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $58.88 Typical High $66.07 | Professional | 52 · Reduced service | $48.98 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $19.50 | $23.99 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $17.78 Typical High $19.95 | Professional | 55 · Aftercare only | $14.45 | $17.78 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $11.75 Typical High $13.49 | Professional | 56 · Pre-op care only | $9.77 | $11.75 | $13.49 |
CareFirst Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $154.88 | Professional | None | $120.23 | $120.23 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $194.98 | Facility | None | $181.97 | $181.97 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $181.97 | Professional | None | $131.83 | $131.83 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $194.98 Typical High $446.68 | Professional | None | $147.91 | $194.98 | $446.68 |
United Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $194.98 | Professional | None | $100.00 | $138.04 | $194.98 |
Where Washington, DC sits
The same service costs 3.5 times more in Hawaii than in Washington, DC. 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· 51st of 51
$120
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.