How much rates vary
Facilitymedian $8 · 10th to 90th $8 to $8Professionalmedian $7 · 10th to 90th $5 to $9
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 $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $7.94 Typical High $7.94 | Professional | None | $6.76 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $3.98 Typical High $4.07 | Professional | 52 · Reduced service | $3.63 | $3.98 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.58 Typical High $1.62 | Professional | 53 · Discontinued | $1.45 | $1.58 | $1.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.37 Median $5.89 Typical High $6.03 | Professional | 54 · Surgery only | $5.37 | $5.89 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.07 Median $1.17 Typical High $1.23 | Professional | 55 · Aftercare only | $1.07 | $1.17 | $1.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $0.79 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.72 | $0.79 | $0.81 |
CareFirst Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $22.91 | Professional | None | $11.22 | $13.18 | $22.91 |
United Setting Professional Modifier None Typical Low $4.90 Median $5.75 Typical High $10.47 | Professional | None | $4.90 | $5.75 | $10.47 |
Where Washington, DC sits
The same service costs 2.9 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· 34th of 51
$6.61
RI $13.49NY $4.68
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.