How much rates vary
Facilitymedian $16 · 10th to 90th $16 to $16Professionalmedian $13 · 10th to 90th $10 to $19
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 $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $15.85 Typical High $16.60 | Professional | None | $14.45 | $15.85 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.94 Typical High $8.13 | Professional | 52 · Reduced service | $7.24 | $7.94 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.16 Typical High $3.31 | Professional | 53 · Discontinued | $2.95 | $3.16 | $3.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.96 Median $12.02 Typical High $12.30 | Professional | 54 · Surgery only | $10.96 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.40 Typical High $2.45 | Professional | 55 · Aftercare only | $2.19 | $2.40 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.58 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.45 | $1.58 | $1.62 |
CareFirst Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $26.30 Typical High $46.77 | Professional | None | $22.91 | $26.30 | $46.77 |
United Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $21.38 | Professional | None | $10.00 | $11.75 | $21.38 |
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· 33rd of 51
$13.49
RI $30.20NY $9.55
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.