How much rates vary
Professionalmedian $3 · 10th to 90th $2 to $7
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 $2.63 Median $3.63 Typical High $3.63 | Professional | None | $2.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.32 Median $1.82 Typical High $1.82 | Professional | 52 · Reduced service | $1.32 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.72 Typical High $0.72 | Professional | 53 · Discontinued | $0.52 | $0.72 | $0.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.95 Median $2.75 Typical High $2.75 | Professional | 54 · Surgery only | $1.95 | $2.75 | $2.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.39 Median $0.55 Typical High $0.55 | Professional | 55 · Aftercare only | $0.39 | $0.55 | $0.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.36 Typical High $0.36 | Professional | 56 · Pre-op care only | $0.26 | $0.36 | $0.36 |
CareFirst Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.25 Median $6.03 Typical High $8.32 | Professional | None | $5.25 | $6.03 | $8.32 |
United Setting Professional Modifier None Typical Low $2.29 Median $2.69 Typical High $3.89 | Professional | None | $2.29 | $2.69 | $3.89 |
Wellpoint Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Where Maryland sits
The same service costs 3.8 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
$3.09
RI $8.32NY $2.19
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.