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 $1,513.56 Median $1,513.56 Typical High $1,621.81 | Professional | None | $1,513.56 | $1,513.56 | $1,621.81 |
CareFirst Setting Professional Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,737.80 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $12,022.64 Typical High $20,417.38 | Facility | None | $588.84 | $12,022.64 | $20,417.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $1,621.81 Typical High $2,344.23 | Professional | None | $1,513.56 | $1,621.81 | $2,344.23 |
United Setting Facility Modifier None Typical Low $7,585.78 Median $13,803.84 Typical High $19,054.61 | Facility | None | $7,585.78 | $13,803.84 | $19,054.61 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,318.26 Typical High $2,951.21 | Professional | None | $851.14 | $1,318.26 | $2,951.21 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $758.58 Typical High $812.83 | Professional | 52 · Reduced service | $758.58 | $758.58 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $323.59 | Professional | 53 · Discontinued | $302.00 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $162.18 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $162.18 |
Where Maryland sits
The same service costs 6.9 times more in Arkansas than in Kentucky. 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· 35th of 51
$1,738
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.