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 $0.39 Median $0.39 Typical High $0.39 | Facility | None | $0.39 | $0.39 | $0.39 |
Aetna Setting Professional Modifier None Typical Low $0.32 Median $0.39 Typical High $0.45 | Professional | None | $0.32 | $0.39 | $0.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.16 Median $0.20 Typical High $0.23 | Professional | 52 · Reduced service | $0.16 | $0.20 | $0.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.08 Typical High $0.09 | Professional | 53 · Discontinued | $0.06 | $0.08 | $0.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.06 Typical High $0.07 | Professional | 55 · Aftercare only | $0.05 | $0.06 | $0.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.04 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.03 | $0.04 | $0.05 |
CareFirst Setting Professional Modifier None Typical Low $0.44 Median $0.44 Typical High $0.52 | Professional | None | $0.44 | $0.44 | $0.52 |
Cigna Setting Facility Modifier None Typical Low $0.45 Median $0.45 Typical High $0.45 | Facility | None | $0.45 | $0.45 | $0.45 |
Cigna Setting Professional Modifier None Typical Low $0.36 Median $0.36 Typical High $0.42 | Professional | None | $0.36 | $0.36 | $0.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.49 Median $0.65 Typical High $1.45 | Professional | None | $0.49 | $0.65 | $1.45 |
United Setting Professional Modifier None Typical Low $0.33 Median $0.46 Typical High $0.65 | Professional | None | $0.33 | $0.46 | $0.65 |
Where Washington, DC sits
The same service costs 2.3 times more in Montana than in Hawaii. 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· 34th of 51
$0.44
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.