How much rates vary
Facilitymedian $6 · 10th to 90th $6 to $6Professionalmedian $5 · 10th to 90th $3 to $7
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 $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $5.75 Typical High $6.61 | Professional | None | $5.25 | $5.75 | $6.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.63 Median $2.82 Typical High $2.95 | Professional | 52 · Reduced service | $2.63 | $2.82 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.12 Typical High $1.17 | Professional | 53 · Discontinued | $1.05 | $1.12 | $1.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.89 Median $4.27 Typical High $4.37 | Professional | 54 · Surgery only | $3.89 | $4.27 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.78 Median $0.85 Typical High $0.87 | Professional | 55 · Aftercare only | $0.78 | $0.85 | $0.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.52 Median $0.56 Typical High $0.59 | Professional | 56 · Pre-op care only | $0.52 | $0.56 | $0.59 |
CareFirst Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.13 Median $9.33 Typical High $16.60 | Professional | None | $8.13 | $9.33 | $16.60 |
United Setting Professional Modifier None Typical Low $3.55 Median $4.17 Typical High $7.59 | Professional | None | $3.55 | $4.17 | $7.59 |
Where Washington, DC sits
The same service costs 4.1 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
$4.79
RI $13.80NY $3.39
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.