How much rates vary
Facilitymedian $5 · 10th to 90th $5 to $5Professionalmedian $4 · 10th to 90th $3 to $6
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 $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.90 Typical High $5.01 | Professional | None | $4.47 | $4.90 | $5.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.24 Median $2.45 Typical High $2.51 | Professional | 52 · Reduced service | $2.24 | $2.45 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.98 Typical High $1.00 | Professional | 53 · Discontinued | $0.89 | $0.98 | $1.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.39 Median $3.63 Typical High $3.80 | Professional | 54 · Surgery only | $3.39 | $3.63 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.68 Median $0.72 Typical High $0.76 | Professional | 55 · Aftercare only | $0.68 | $0.72 | $0.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.45 Median $0.49 Typical High $0.50 | Professional | 56 · Pre-op care only | $0.45 | $0.49 | $0.50 |
CareFirst Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | None | $4.07 | $4.07 | $4.07 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.92 Median $8.13 Typical High $14.45 | Professional | None | $6.92 | $8.13 | $14.45 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.63 Typical High $6.61 | Professional | None | $3.09 | $3.63 | $6.61 |
Where Washington, DC sits
The same service costs 2.7 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
$4.07
HI $7.94NY $2.95
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.