How much rates vary
Facilitymedian $5 · 10th to 90th $5 to $5Professionalmedian $5 · 10th to 90th $3 to $6
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 $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $5.75 | Professional | None | $5.01 | $5.50 | $5.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.51 Median $2.75 Typical High $2.82 | Professional | 52 · Reduced service | $2.51 | $2.75 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.10 Typical High $1.12 | Professional | 53 · Discontinued | $1.00 | $1.10 | $1.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.72 Median $4.07 Typical High $4.27 | Professional | 54 · Surgery only | $3.72 | $4.07 | $4.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.76 Median $0.81 Typical High $0.85 | Professional | 55 · Aftercare only | $0.76 | $0.81 | $0.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.50 Median $0.55 Typical High $0.56 | Professional | 56 · Pre-op care only | $0.50 | $0.55 | $0.56 |
CareFirst Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | None | $4.57 | $4.57 | $4.57 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.76 Median $9.12 Typical High $16.22 | Professional | None | $7.76 | $9.12 | $16.22 |
United Setting Professional Modifier None Typical Low $3.47 Median $4.07 Typical High $7.41 | Professional | None | $3.47 | $4.07 | $7.41 |
Where Washington, DC sits
The same service costs 3.2 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· 34th of 51
$4.57
RI $10.72NY $3.31
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.