How much rates vary
Facilitymedian $12 · 10th to 90th $12 to $12Professionalmedian $10 · 10th to 90th $8 to $13
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 $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $12.30 Typical High $12.30 | Professional | None | $10.23 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $6.03 Typical High $6.31 | Professional | 52 · Reduced service | $5.62 | $6.03 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.45 Typical High $2.51 | Professional | 53 · Discontinued | $2.24 | $2.45 | $2.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $8.32 Median $9.12 Typical High $9.33 | Professional | 54 · Surgery only | $8.32 | $9.12 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.82 Typical High $1.86 | Professional | 55 · Aftercare only | $1.66 | $1.82 | $1.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.23 Typical High $1.26 | Professional | 56 · Pre-op care only | $1.12 | $1.23 | $1.26 |
CareFirst Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $35.48 | Professional | None | $17.38 | $20.42 | $35.48 |
United Setting Professional Modifier None Typical Low $7.59 Median $8.91 Typical High $16.22 | Professional | None | $7.59 | $8.91 | $16.22 |
Where Washington, DC sits
The same service costs 2.7 times more in Idaho 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· 32nd of 51
$10.23
ID $19.50NY $7.24
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.