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 $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $14.79 Typical High $25.12 | Professional | None | $11.22 | $14.79 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $7.41 Typical High $7.76 | Professional | 52 · Reduced service | $5.62 | $7.41 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.95 Typical High $3.09 | Professional | 53 · Discontinued | $2.24 | $2.95 | $3.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $2.24 Typical High $2.34 | Professional | 55 · Aftercare only | $1.70 | $2.24 | $2.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.48 Typical High $1.55 | Professional | 56 · Pre-op care only | $1.12 | $1.48 | $1.55 |
CareFirst Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $19.50 | Professional | None | $15.14 | $15.14 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $18.62 | Facility | None | $16.60 | $16.60 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $16.60 | Professional | None | $12.02 | $12.02 | $16.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $23.99 Typical High $54.95 | Professional | None | $18.62 | $23.99 | $54.95 |
United Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $24.55 | Professional | None | $12.59 | $17.38 | $24.55 |
Where Washington, DC sits
The same service costs 3.0 times more in Hawaii than in Delaware. 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· 42nd of 51
$15.14
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.