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 $2,691.53 Median $2,691.53 Typical High $2,818.38 | Professional | None | $2,691.53 | $2,691.53 | $2,818.38 |
CareFirst Setting Professional Modifier None Typical Low $2,884.03 Median $3,235.94 Typical High $3,235.94 | Professional | None | $2,884.03 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $13,489.63 Typical High $22,908.68 | Facility | None | $512.86 | $13,489.63 | $22,908.68 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,691.53 Typical High $4,897.79 | Professional | None | $2,137.96 | $2,691.53 | $4,897.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,570.40 Median $2,951.21 Typical High $4,897.79 | Professional | None | $2,570.40 | $2,951.21 | $4,897.79 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $7,413.10 Typical High $10,715.19 | Facility | None | $3,090.30 | $7,413.10 | $10,715.19 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $5,888.44 | Professional | None | $1,862.09 | $2,630.27 | $5,888.44 |
Wellpoint Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,890.45 | Professional | None | $2,290.87 | $2,290.87 | $3,890.45 |
6 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 $1,348.96 Median $1,348.96 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $562.34 | Professional | 53 · Discontinued | $537.03 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,041.74 Typical High $2,137.96 | Professional | 54 · Surgery only | $2,041.74 | $2,041.74 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $426.58 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $281.84 | Professional | 56 · Pre-op care only | $269.15 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $1,905.46 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,905.46 | $1,905.46 | $1,995.26 |
Where Maryland sits
The same service costs 20.0 times more in Alaska than in Texas. 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· 39th of 51
$2,884
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.