How much rates vary
Facilitymedian $93 · 10th to 90th $52 to $617Professionalmedian $102 · 10th to 90th $78 to $141
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 $102.33 Median $107.15 Typical High $141.25 | Professional | None | $102.33 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $52.48 Typical High $70.79 | Professional | 52 · Reduced service | $51.29 | $52.48 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $28.18 | Professional | 53 · Discontinued | $20.42 | $20.89 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $79.43 Typical High $107.15 | Professional | 54 · Surgery only | $75.86 | $79.43 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.85 Typical High $21.38 | Professional | 55 · Aftercare only | $15.14 | $15.85 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.47 Typical High $14.13 | Professional | 56 · Pre-op care only | $10.23 | $10.47 | $14.13 |
CareFirst Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $104.71 | Professional | None | $77.62 | $87.10 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $114.82 | Facility | None | $50.12 | $64.57 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $162.18 | Professional | None | $79.43 | $100.00 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $162.18 | Professional | None | $91.20 | $114.82 | $162.18 |
United Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $616.60 | Facility | None | $64.57 | $144.54 | $616.60 |
United Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $190.55 | Professional | None | $69.18 | $100.00 | $190.55 |
Wellpoint Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $138.04 | Professional | None | $102.33 | $102.33 | $138.04 |
Where Maryland sits
The same service costs 4.2 times more in Alaska than in New Jersey. 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· 41st of 51
$102
AK $347NJ $83.18
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.