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 Professional Modifier None Typical Low $12.30 Median $14.13 Typical High $14.13 | Professional | None | $12.30 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $6.17 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.82 Typical High $2.82 | Professional | 53 · Discontinued | $2.45 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $2.14 Typical High $2.14 | Professional | 55 · Aftercare only | $1.86 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.41 Typical High $1.41 | Professional | 56 · Pre-op care only | $1.23 | $1.41 | $1.41 |
CareFirst Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $18.62 | Professional | None | $14.13 | $14.13 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $18.62 | Professional | None | $13.49 | $13.49 | $18.62 |
Johns Hopkins Employer Health Plan Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $26.92 Typical High $40.74 | Professional | None | $19.05 | $26.92 | $40.74 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $16.60 | Facility | None | $14.45 | $14.45 | $16.60 |
United Setting Professional Modifier None Typical Low $12.30 Median $13.80 Typical High $20.89 | Professional | None | $12.30 | $13.80 | $20.89 |
Wellpoint Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $22.91 | Professional | None | $16.22 | $16.22 | $22.91 |
Where Maryland sits
The same service costs 2.8 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· 48th of 51
$14.13
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.