How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Facility | None | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier None Typical Low $0.30 Median $0.36 Typical High $0.36 | Professional | None | $0.30 | $0.36 | $0.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.15 Median $0.18 Typical High $0.18 | Professional | 52 · Reduced service | $0.15 | $0.18 | $0.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.06 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.04 | $0.04 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.03 Median $0.04 Typical High $0.04 | Professional | RR · Rental | $0.03 | $0.04 | $0.04 |
CareFirst Setting Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | None | $0.35 | $0.35 | $0.35 |
Cigna Setting Professional Modifier None Typical Low $0.31 Median $0.31 Typical High $0.31 | Professional | None | $0.31 | $0.31 | $0.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.60 Median $0.68 Typical High $0.93 | Professional | None | $0.60 | $0.68 | $0.93 |
United Setting Professional Modifier None Typical Low $0.26 Median $0.31 Typical High $0.47 | Professional | None | $0.26 | $0.31 | $0.47 |
Wellpoint Setting Professional Modifier None Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | None | $0.25 | $0.25 | $0.25 |
Where Maryland sits
The same service costs 4.6 times more in Hawaii than in Rhode Island. 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· 27th of 51
$0.35
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.