How much rates vary
Professionalmedian $9 · 10th to 90th $7 to $13
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 $7.94 Median $10.96 Typical High $10.96 | Professional | None | $7.94 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.89 Median $5.50 Typical High $5.50 | Professional | 52 · Reduced service | $3.89 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $2.19 Typical High $2.19 | Professional | 53 · Discontinued | $1.58 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.89 Median $8.13 Typical High $8.13 | Professional | 54 · Surgery only | $5.89 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.17 Median $1.62 Typical High $1.62 | Professional | 55 · Aftercare only | $1.17 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.79 Median $1.10 Typical High $1.10 | Professional | 56 · Pre-op care only | $0.79 | $1.10 | $1.10 |
CareFirst Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $18.20 Typical High $24.55 | Professional | None | $15.85 | $18.20 | $24.55 |
United Setting Professional Modifier None Typical Low $6.92 Median $8.13 Typical High $11.75 | Professional | None | $6.92 | $8.13 | $11.75 |
Wellpoint Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Where Maryland sits
The same service costs 3.2 times more in Rhode Island than in New York. 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· 37th of 51
$9.12
RI $21.38NY $6.61
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.