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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $467.74 Typical High $537.03 | Professional | None | $380.19 | $467.74 | $537.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $234.42 Typical High $269.15 | Professional | 52 · Reduced service | $194.98 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $93.33 Typical High $107.15 | Professional | 53 · Discontinued | $77.62 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $70.79 Typical High $81.28 | Professional | 55 · Aftercare only | $58.88 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $46.77 Typical High $53.70 | Professional | 56 · Pre-op care only | $38.90 | $46.77 | $53.70 |
CareFirst Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $616.60 | Professional | None | $467.74 | $467.74 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $776.25 | Facility | None | $691.83 | $691.83 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $691.83 | Professional | None | $512.86 | $512.86 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $1,737.80 | Professional | None | $575.44 | $758.58 | $1,737.80 |
United Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $776.25 | Professional | None | $398.11 | $549.54 | $776.25 |
Where Washington, DC sits
The same service costs 2.4 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
$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.