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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $28.18 | Professional | None | $20.42 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $14.13 Typical High $14.45 | Professional | 52 · Reduced service | $12.88 | $14.13 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.62 Typical High $5.89 | Professional | 53 · Discontinued | $5.13 | $5.62 | $5.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.50 Median $21.38 Typical High $21.88 | Professional | 54 · Surgery only | $19.50 | $21.38 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $4.27 Typical High $4.37 | Professional | 55 · Aftercare only | $3.89 | $4.27 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.82 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.57 | $2.82 | $2.95 |
CareFirst Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $46.77 Typical High $83.18 | Professional | None | $40.74 | $46.77 | $83.18 |
United Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $38.02 | Professional | None | $17.78 | $20.89 | $38.02 |
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
$23.99
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.