How much rates vary
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 $489.78 Median $489.78 Typical High $524.81 | Professional | None | $489.78 | $489.78 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $245.47 Typical High $263.03 | Professional | 52 · Reduced service | $245.47 | $245.47 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $104.71 | Professional | 53 · Discontinued | $97.72 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $398.11 | Professional | 54 · Surgery only | $371.54 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $48.98 Typical High $52.48 | Professional | 56 · Pre-op care only | $48.98 | $48.98 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $4,786.30 Typical High $8,128.31 | Facility | None | $512.86 | $4,786.30 | $8,128.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $870.96 | Professional | None | $537.03 | $588.84 | $870.96 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $2,570.40 | Facility | None | $758.58 | $1,380.38 | $2,570.40 |
United Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $1,096.48 | Professional | None | $426.58 | $501.19 | $1,096.48 |
Where Maryland sits
The same service costs 7.2 times more in Texas than in Pennsylvania. 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
$525
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.