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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $190.55 | Professional | None | $89.13 | $109.65 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $54.95 Typical High $70.79 | Professional | 52 · Reduced service | $47.86 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.88 Typical High $28.18 | Professional | 53 · Discontinued | $19.05 | $21.88 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $16.22 Typical High $21.38 | Professional | 55 · Aftercare only | $14.13 | $16.22 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $10.96 Typical High $14.13 | Professional | 56 · Pre-op care only | $9.55 | $10.96 | $14.13 |
CareFirst Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $144.54 | Professional | None | $109.65 | $109.65 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $190.55 | Facility | None | $169.82 | $169.82 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $169.82 | Professional | None | $123.03 | $123.03 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $407.38 | Professional | None | $134.90 | $177.83 | $407.38 |
United Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $181.97 | Professional | None | $91.20 | $125.89 | $181.97 |
Where Washington, DC sits
The same service costs 2.7 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
$110
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.