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 $257.04 Median $257.04 Typical High $275.42 | Professional | None | $257.04 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $138.04 | Professional | 52 · Reduced service | $128.82 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $54.95 | Professional | 53 · Discontinued | $51.29 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | 54 · Surgery only | $194.98 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $41.69 | Professional | 55 · Aftercare only | $38.90 | $38.90 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $12,302.69 Typical High $22,387.21 | Facility | None | $512.86 | $12,302.69 | $22,387.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $457.09 | Professional | None | $263.03 | $288.40 | $457.09 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $3,801.89 Typical High $7,079.46 | Facility | None | $1,621.81 | $3,801.89 | $7,079.46 |
United Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $575.44 | Professional | None | $218.78 | $257.04 | $575.44 |
Where Maryland sits
The same service costs 9.5 times more in Arkansas than in Kentucky. 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· 38th of 51
$282
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.