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 $95.50 Median $199.53 Typical High $234.42 | Professional | None | $95.50 | $199.53 | $234.42 |
CareFirst Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | None | $93.33 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $758.58 Typical High $1,348.96 | Facility | None | $446.68 | $758.58 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $186.21 Typical High $302.00 | Professional | None | $89.13 | $186.21 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $436.52 | Professional | None | $245.47 | $281.84 | $436.52 |
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 $72.44 Median $158.49 Typical High $380.19 | Professional | None | $72.44 | $158.49 | $380.19 |
Wellpoint Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $407.38 | Professional | None | $177.83 | $177.83 | $407.38 |
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 $46.77 Median $61.66 Typical High $117.49 | Professional | 52 · Reduced service | $46.77 | $61.66 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $24.55 Typical High $46.77 | Professional | 53 · Discontinued | $19.05 | $24.55 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $91.20 Typical High $177.83 | Professional | 54 · Surgery only | $70.79 | $91.20 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $18.62 Typical High $35.48 | Professional | 55 · Aftercare only | $14.13 | $18.62 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $12.30 Typical High $23.44 | Professional | 56 · Pre-op care only | $9.55 | $12.30 | $23.44 |
Where Maryland sits
The same service costs 3.5 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· 49th of 51
$170
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.