How much rates vary
Professionalmedian $7 · 10th to 90th $5 to $9
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 $5.62 Median $7.94 Typical High $7.94 | Professional | None | $5.62 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $2.82 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.12 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4.27 Median $5.89 Typical High $5.89 | Professional | 54 · Surgery only | $4.27 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.85 Median $1.17 Typical High $1.17 | Professional | 55 · Aftercare only | $0.85 | $1.17 | $1.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.79 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.56 | $0.79 | $0.79 |
CareFirst Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $17.78 | Professional | None | $11.22 | $13.18 | $17.78 |
United Setting Professional Modifier None Typical Low $4.90 Median $5.75 Typical High $8.51 | Professional | None | $4.90 | $5.75 | $8.51 |
Wellpoint Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
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
$6.61
RI $13.49NY $4.68
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.