How much rates vary
Facilitymedian $3 · 10th to 90th $3 to $3Professionalmedian $2 · 10th to 90th $2 to $3
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 $2.88 Median $2.88 Typical High $2.88 | Facility | None | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $2.88 Typical High $2.95 | Professional | None | $2.63 | $2.88 | $2.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.32 Median $1.45 Typical High $1.48 | Professional | 52 · Reduced service | $1.32 | $1.45 | $1.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.56 Typical High $0.59 | Professional | 53 · Discontinued | $0.52 | $0.56 | $0.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.95 Median $2.14 Typical High $2.19 | Professional | 54 · Surgery only | $1.95 | $2.14 | $2.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.39 Median $0.43 Typical High $0.44 | Professional | 55 · Aftercare only | $0.39 | $0.43 | $0.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.26 | $0.28 | $0.28 |
CareFirst Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | None | $2.40 | $2.40 | $2.40 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $8.32 | Professional | None | $4.07 | $4.79 | $8.32 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.09 Typical High $3.80 | Professional | None | $1.78 | $2.09 | $3.80 |
Where Washington, DC sits
The same service costs 4.0 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· 36th of 51
$2.40
RI $6.76NY $1.70
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.