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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $23.44 | Professional | None | $20.89 | $22.91 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $11.48 Typical High $11.75 | Professional | 52 · Reduced service | $10.47 | $11.48 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.57 Typical High $4.68 | Professional | 53 · Discontinued | $4.17 | $4.57 | $4.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.49 Median $16.98 Typical High $17.38 | Professional | 54 · Surgery only | $15.49 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.39 Typical High $3.55 | Professional | 55 · Aftercare only | $3.09 | $3.39 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.29 Typical High $2.34 | Professional | 56 · Pre-op care only | $2.09 | $2.29 | $2.34 |
CareFirst Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $67.61 | Professional | None | $32.36 | $38.02 | $67.61 |
United Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $30.20 | Professional | None | $14.13 | $16.98 | $30.20 |
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· 32nd of 51
$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.