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 $3.24 Median $3.24 Typical High $3.24 | Facility | None | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $3.24 Typical High $3.80 | Professional | None | $2.69 | $3.24 | $3.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.35 Median $1.62 Typical High $1.91 | Professional | 52 · Reduced service | $1.35 | $1.62 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.65 Typical High $0.76 | Professional | 53 · Discontinued | $0.54 | $0.65 | $0.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.40 Median $0.49 Typical High $0.56 | Professional | 55 · Aftercare only | $0.40 | $0.49 | $0.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.27 Median $0.33 Typical High $0.38 | Professional | 56 · Pre-op care only | $0.27 | $0.33 | $0.38 |
CareFirst Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $4.27 | Professional | None | $3.72 | $3.72 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.55 | Professional | None | $2.95 | $2.95 | $3.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.07 Median $5.25 Typical High $12.02 | Professional | None | $4.07 | $5.25 | $12.02 |
United Setting Professional Modifier None Typical Low $2.75 Median $3.80 Typical High $5.37 | Professional | None | $2.75 | $3.80 | $5.37 |
Where Washington, DC sits
The same service costs 4.9 times more in Kansas 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· 27th of 51
$3.72
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.