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 $223.87 Median $346.74 Typical High $354.81 | Professional | None | $223.87 | $346.74 | $354.81 |
CareFirst Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $229.09 | Professional | None | $204.17 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,122.02 Typical High $1,862.09 | Facility | None | $436.52 | $1,122.02 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $457.09 | Professional | None | $208.93 | $309.03 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $691.83 | Professional | None | $346.74 | $426.58 | $691.83 |
United Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $1,380.38 | Facility | None | $407.38 | $645.65 | $1,380.38 |
United Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $602.56 | Professional | None | $204.17 | $309.03 | $602.56 |
Wellpoint Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $588.84 | Professional | None | $263.03 | $263.03 | $588.84 |
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 $112.20 Median $112.20 Typical High $177.83 | Professional | 52 · Reduced service | $112.20 | $112.20 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $70.79 | Professional | 53 · Discontinued | $44.67 | $44.67 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $269.15 | Professional | 54 · Surgery only | $165.96 | $165.96 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $53.70 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $35.48 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $35.48 |
Where Maryland sits
The same service costs 4.1 times more in Alaska 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· 36th of 51
$324
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.