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 $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $4.27 Typical High $7.94 | Professional | None | $3.47 | $4.27 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $2.14 Typical High $2.40 | Professional | 52 · Reduced service | $1.74 | $2.14 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.85 Typical High $0.95 | Professional | 53 · Discontinued | $0.69 | $0.85 | $0.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.65 Typical High $0.72 | Professional | 55 · Aftercare only | $0.52 | $0.65 | $0.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.43 Typical High $0.48 | Professional | 56 · Pre-op care only | $0.35 | $0.43 | $0.48 |
CareFirst Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $5.62 | Professional | None | $4.47 | $4.47 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.75 | Facility | None | $5.13 | $5.13 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $5.13 | Professional | None | $3.80 | $3.80 | $5.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.37 Median $6.92 Typical High $15.85 | Professional | None | $5.37 | $6.92 | $15.85 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.01 Typical High $7.08 | Professional | None | $3.63 | $5.01 | $7.08 |
Where Washington, DC sits
The same service costs 3.2 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· 47th of 51
$4.47
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.