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 $8.13 Median $11.48 Typical High $11.48 | Professional | None | $8.13 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $5.75 Typical High $5.75 | Professional | 52 · Reduced service | $4.07 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $2.29 Typical High $2.29 | Professional | 53 · Discontinued | $1.62 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $6.17 Median $8.51 Typical High $8.51 | Professional | 54 · Surgery only | $6.17 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.70 Typical High $1.70 | Professional | 55 · Aftercare only | $1.23 | $1.70 | $1.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $1.12 Typical High $1.12 | Professional | 56 · Pre-op care only | $0.81 | $1.12 | $1.12 |
CareFirst Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $19.05 Typical High $25.70 | Professional | None | $16.22 | $19.05 | $25.70 |
United Setting Professional Modifier None Typical Low $7.08 Median $8.32 Typical High $12.02 | Professional | None | $7.08 | $8.32 | $12.02 |
Wellpoint Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
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
$9.55
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.