How much rates vary
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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $38.02 | Professional | None | $22.91 | $32.36 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $16.22 Typical High $16.60 | Professional | 52 · Reduced service | $14.79 | $16.22 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.46 Typical High $6.61 | Professional | 53 · Discontinued | $5.89 | $6.46 | $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 $5.01 | Professional | 55 · Aftercare only | $4.37 | $4.79 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $3.24 Typical High $3.31 | Professional | 56 · Pre-op care only | $2.95 | $3.24 | $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 $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $93.33 | Professional | None | $45.71 | $53.70 | $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 2.8 times more in Hawaii 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· 34th of 51
$26.92
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.