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 $40.74 Median $56.23 Typical High $56.23 | Professional | None | $40.74 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $20.42 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $8.13 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.20 Median $42.66 Typical High $42.66 | Professional | 54 · Surgery only | $30.20 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $8.51 Typical High $8.51 | Professional | 55 · Aftercare only | $6.17 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.62 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.07 | $5.62 | $5.62 |
CareFirst Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $128.82 | Professional | None | $81.28 | $93.33 | $128.82 |
United Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $60.26 | Professional | None | $35.48 | $41.69 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
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
$47.86
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.