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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $28.84 | Professional | None | $25.12 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $14.45 Typical High $14.79 | Professional | 52 · Reduced service | $13.18 | $14.45 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.75 Typical High $5.89 | Professional | 53 · Discontinued | $5.25 | $5.75 | $5.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.95 Median $21.38 Typical High $22.39 | Professional | 54 · Surgery only | $19.95 | $21.38 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $4.37 Typical High $4.47 | Professional | 55 · Aftercare only | $3.98 | $4.37 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.88 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.63 | $2.88 | $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 $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $85.11 | Professional | None | $41.69 | $47.86 | $85.11 |
United Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $38.90 | Professional | None | $18.20 | $21.38 | $38.90 |
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· 37th 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.