How much rates vary
Professionalmedian $13 · 10th to 90th $10 to $17
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 $11.22 Median $15.85 Typical High $15.85 | Professional | None | $11.22 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $5.62 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $2.24 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $8.51 Median $11.75 Typical High $11.75 | Professional | 54 · Surgery only | $8.51 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $2.34 Typical High $2.34 | Professional | 55 · Aftercare only | $1.70 | $2.34 | $2.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.58 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.12 | $1.58 | $1.58 |
CareFirst Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $35.48 | Professional | None | $22.39 | $26.30 | $35.48 |
United Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $16.98 | Professional | None | $9.77 | $11.75 | $16.98 |
Wellpoint Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Where Maryland sits
The same service costs 2.9 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
$13.18
RI $26.92NY $9.33
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.