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 $6.46 Median $8.71 Typical High $10.00 | Professional | None | $6.46 | $8.71 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.24 Median $4.37 Typical High $5.01 | Professional | 52 · Reduced service | $3.24 | $4.37 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.78 Typical High $2.00 | Professional | 53 · Discontinued | $1.29 | $1.78 | $2.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.95 Median $1.32 Typical High $1.48 | Professional | 55 · Aftercare only | $0.95 | $1.32 | $1.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.89 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.65 | $0.89 | $1.00 |
CareFirst Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $13.80 | Professional | None | $8.71 | $8.71 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.48 Median $13.18 Typical High $18.20 | Professional | None | $11.48 | $13.18 | $18.20 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $8.91 | Professional | None | $5.75 | $8.13 | $8.91 |
Wellpoint Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Where Maryland sits
The same service costs 46.8 times more in New York than in Arkansas. 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· 25th of 51
$9.77
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.