How much rates vary
Professionalmedian $13 · 10th to 90th $12 to $30
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Professional Modifier None Typical Low $16.22 Median $17.78 Typical High $17.78 | Professional | None | $16.22 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.71 Typical High $8.91 | Professional | 52 · Reduced service | $8.13 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.55 Typical High $3.55 | Professional | 53 · Discontinued | $3.24 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $2.63 Typical High $2.69 | Professional | 55 · Aftercare only | $2.45 | $2.63 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.78 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.62 | $1.78 | $1.78 |
CareFirst Setting Professional Modifier None Typical Low $12.30 Median $13.49 Typical High $13.49 | Professional | None | $12.30 | $13.49 | $13.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $51.29 Typical High $75.86 | Professional | None | $32.36 | $51.29 | $75.86 |
United Setting Professional Modifier None Typical Low $12.30 Median $18.20 Typical High $37.15 | Professional | None | $12.30 | $18.20 | $37.15 |
Where Maryland sits
The same service costs 19.1 times more in Indiana than in Delaware. 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.
Maryland· 49th of 51
$13.49
IN $257DE $13.49
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.