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 $151.36 Median $295.12 Typical High $295.12 | Professional | None | $151.36 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $75.86 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $30.20 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $43.65 Typical High $43.65 | Professional | 55 · Aftercare only | $22.91 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $29.51 Typical High $29.51 | Professional | 56 · Pre-op care only | $15.14 | $29.51 | $29.51 |
CareFirst Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $645.65 | Professional | None | $389.05 | $457.09 | $645.65 |
United Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $251.19 | Professional | None | $199.53 | $223.87 | $251.19 |
Wellpoint Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Where Maryland sits
The same service costs 2.8 times more in Montana than in Florida. 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· 42nd of 51
$263
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.