How much rates vary
Facilitymedian $309 · 10th to 90th $219 to $309Professionalmedian $224 · 10th to 90th $186 to $309
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 Professional Modifier None Typical Low $186.21 Median $213.80 Typical High $213.80 | Professional | None | $186.21 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $93.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $37.15 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $27.54 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $18.62 | $21.38 | $21.38 |
CareFirst Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $281.84 | Professional | None | $213.80 | $213.80 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $309.03 | Professional | None | $223.87 | $223.87 | $309.03 |
Johns Hopkins Employer Health Plan Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $602.56 | Professional | None | $281.84 | $407.38 | $602.56 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $245.47 | Facility | None | $218.78 | $218.78 | $245.47 |
United Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $309.03 | Professional | None | $186.21 | $208.93 | $309.03 |
Wellpoint Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $346.74 | Professional | None | $239.88 | $239.88 | $346.74 |
Where Maryland sits
The same service costs 2.5 times more in Hawaii than in Pennsylvania. 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· 47th of 51
$224
HI $525PA $214
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.