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 $3,235.94 Median $3,235.94 Typical High $3,388.44 | Professional | None | $3,235.94 | $3,235.94 | $3,388.44 |
CareFirst Setting Professional Modifier None Typical Low $3,467.37 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,467.37 | $3,801.89 | $3,801.89 |
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 $2,691.53 Median $3,235.94 Typical High $5,754.40 | Professional | None | $2,691.53 | $3,235.94 | $5,754.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,019.95 Median $3,467.37 Typical High $5,754.40 | Professional | None | $3,019.95 | $3,467.37 | $5,754.40 |
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 $2,290.87 Median $3,090.30 Typical High $7,079.46 | Professional | None | $2,290.87 | $3,090.30 | $7,079.46 |
Wellpoint Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $4,570.88 | Professional | None | $2,884.03 | $2,884.03 | $4,570.88 |
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 $1,621.81 Median $1,621.81 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,621.81 | $1,621.81 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $645.65 Typical High $676.08 | Professional | 53 · Discontinued | $645.65 | $645.65 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,398.83 Median $2,398.83 Typical High $2,511.89 | Professional | 54 · Surgery only | $2,398.83 | $2,398.83 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $478.63 Median $478.63 Typical High $501.19 | Professional | 55 · Aftercare only | $478.63 | $478.63 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | 56 · Pre-op care only | $323.59 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,238.72 Median $2,238.72 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $2,238.72 | $2,238.72 | $2,344.23 |
Where Maryland sits
The same service costs 20.4 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
$3,467
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.