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 $20.89 Median $28.84 Typical High $28.84 | Professional | None | $20.89 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $10.23 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $4.17 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.49 Median $21.38 Typical High $21.38 | Professional | 54 · Surgery only | $15.49 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $4.37 Typical High $4.37 | Professional | 55 · Aftercare only | $3.09 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.88 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.04 | $2.88 | $2.88 |
CareFirst Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $64.57 | Professional | None | $41.69 | $47.86 | $64.57 |
United Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $30.90 | Professional | None | $18.20 | $21.38 | $30.90 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
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· 36th of 51
$23.99
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.