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 $17.38 Median $24.55 Typical High $24.55 | Professional | None | $17.38 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $8.71 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $3.47 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $13.18 Median $18.20 Typical High $18.20 | Professional | 54 · Surgery only | $13.18 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $3.63 Typical High $3.63 | Professional | 55 · Aftercare only | $2.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $2.45 Typical High $2.45 | Professional | 56 · Pre-op care only | $1.74 | $2.45 | $2.45 |
CareFirst Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $54.95 | Professional | None | $34.67 | $40.74 | $54.95 |
United Setting Professional Modifier None Typical Low $15.14 Median $18.20 Typical High $26.30 | Professional | None | $15.14 | $18.20 | $26.30 |
Wellpoint Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Where Maryland sits
The same service costs 2.8 times more in Hawaii 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· 33rd of 51
$20.42
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.