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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $104.71 | Professional | None | $70.79 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $35.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $14.13 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $10.72 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $7.08 | $10.47 | $10.47 |
CareFirst Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $234.42 | Professional | None | $165.96 | $165.96 | $234.42 |
United Setting Professional Modifier None Typical Low $53.70 Median $81.28 Typical High $107.15 | Professional | None | $53.70 | $81.28 | $107.15 |
Where Washington, DC sits
The same service costs 2.9 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· 21st of 51
$105
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.