How much rates vary
Facilitymedian $25 · 10th to 90th $25 to $25Professionalmedian $21 · 10th to 90th $15 to $31
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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $47.86 | Professional | None | $22.39 | $24.55 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $12.30 Typical High $12.59 | Professional | 52 · Reduced service | $11.22 | $12.30 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.90 Typical High $5.13 | Professional | 53 · Discontinued | $4.47 | $4.90 | $5.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.98 Median $18.62 Typical High $19.05 | Professional | 54 · Surgery only | $16.98 | $18.62 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.72 Typical High $3.80 | Professional | 55 · Aftercare only | $3.39 | $3.72 | $3.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.45 Typical High $2.51 | Professional | 56 · Pre-op care only | $2.24 | $2.45 | $2.51 |
CareFirst Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $40.74 Typical High $72.44 | Professional | None | $35.48 | $40.74 | $72.44 |
United Setting Professional Modifier None Typical Low $15.49 Median $18.20 Typical High $33.11 | Professional | None | $15.49 | $18.20 | $33.11 |
Where Washington, DC sits
The same service costs 3.1 times more in Rhode Island than in New York. 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· 39th of 51
$20.89
RI $45.71NY $14.79
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.