How much rates vary
Facilitymedian $32 · 10th to 90th $32 to $32Professionalmedian $27 · 10th to 90th $19 to $38
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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $33.88 | Professional | None | $28.84 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $15.85 Typical High $16.60 | Professional | 52 · Reduced service | $14.45 | $15.85 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.31 Typical High $6.61 | Professional | 53 · Discontinued | $5.89 | $6.31 | $6.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.88 Median $23.99 Typical High $24.55 | Professional | 54 · Surgery only | $21.88 | $23.99 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.79 Typical High $4.90 | Professional | 55 · Aftercare only | $4.37 | $4.79 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $3.16 Typical High $3.31 | Professional | 56 · Pre-op care only | $2.95 | $3.16 | $3.31 |
CareFirst Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $52.48 Typical High $93.33 | Professional | None | $45.71 | $52.48 | $93.33 |
United Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $42.66 | Professional | None | $19.95 | $23.44 | $42.66 |
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· 36th of 51
$26.92
RI $60.26NY $19.05
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.