How much rates vary
Facilitymedian $355 · 10th to 90th $56 to $1,047Professionalmedian $56 · 10th to 90th $39 to $204
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 $45.71 Median $117.49 Typical High $204.17 | Professional | None | $45.71 | $117.49 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $48.98 Typical High $102.33 | Professional | 52 · Reduced service | $22.91 | $48.98 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $23.44 Typical High $40.74 | Professional | 53 · Discontinued | $9.12 | $23.44 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $87.10 Typical High $151.36 | Professional | 54 · Surgery only | $33.88 | $87.10 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $17.38 Typical High $30.20 | Professional | 55 · Aftercare only | $6.76 | $17.38 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $11.75 Typical High $20.42 | Professional | 56 · Pre-op care only | $4.57 | $11.75 | $20.42 |
CareFirst Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $63.10 | Professional | None | $46.77 | $52.48 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $354.81 | Facility | None | $50.12 | $50.12 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $117.49 Typical High $199.53 | Professional | None | $39.81 | $117.49 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $194.98 Typical High $269.15 | Professional | None | $138.04 | $194.98 | $269.15 |
United Setting Facility Modifier None Typical Low $208.93 Median $398.11 Typical High $1,047.13 | Facility | None | $208.93 | $398.11 | $1,047.13 |
United Setting Professional Modifier None Typical Low $33.11 Median $100.00 Typical High $208.93 | Professional | None | $33.11 | $100.00 | $208.93 |
Wellpoint Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $229.09 | Professional | None | $125.89 | $125.89 | $229.09 |
Where Maryland sits
The same service costs 4.6 times more in Wisconsin than in Washington, DC. 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· 50th of 51
$58.88
WI $240DC $52.48
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.