How much rates vary
Facilitymedian $17 · 10th to 90th $17 to $17Professionalmedian $15 · 10th to 90th $11 to $21
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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $17.38 Typical High $19.95 | Professional | None | $16.60 | $17.38 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $8.71 Typical High $8.91 | Professional | 52 · Reduced service | $7.94 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.47 Typical High $3.55 | Professional | 53 · Discontinued | $3.16 | $3.47 | $3.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12.02 Median $13.18 Typical High $13.49 | Professional | 54 · Surgery only | $12.02 | $13.18 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.40 Median $2.63 Typical High $2.69 | Professional | 55 · Aftercare only | $2.40 | $2.63 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.74 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.58 | $1.74 | $1.78 |
CareFirst Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $51.29 | Professional | None | $25.12 | $28.84 | $51.29 |
United Setting Professional Modifier None Typical Low $10.96 Median $12.88 Typical High $23.44 | Professional | None | $10.96 | $12.88 | $23.44 |
Where Washington, DC sits
The same service costs 3.5 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· 38th of 51
$14.79
RI $36.31NY $10.23
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.