How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $645.65 Median $2,818.38 Typical High $4,786.30 | Facility | None | $645.65 | $2,818.38 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $812.83 | Professional | None | $630.96 | $724.44 | $812.83 |
CareFirst Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $3,235.94 | Professional | None | $630.96 | $691.83 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $2,238.72 | Professional | None | $616.60 | $776.25 | $2,238.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $1,479.11 Typical High $1,862.09 | Professional | None | $870.96 | $1,479.11 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $5,754.40 Typical High $27,542.29 | Facility | None | $1,288.25 | $5,754.40 | $27,542.29 |
United Setting Professional Modifier None Typical Low $549.54 Median $977.24 Typical High $1,995.26 | Professional | None | $549.54 | $977.24 | $1,995.26 |
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 $316.23 Median $363.08 Typical High $407.38 | Professional | 52 · Reduced service | $316.23 | $363.08 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $144.54 Typical High $162.18 | Professional | 53 · Discontinued | $128.82 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $549.54 Typical High $616.60 | Professional | 54 · Surgery only | $478.63 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $109.65 Typical High $123.03 | Professional | 55 · Aftercare only | $95.50 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $72.44 Typical High $81.28 | Professional | 56 · Pre-op care only | $63.10 | $72.44 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $512.86 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $446.68 | $512.86 | $575.44 |
Where Washington, DC sits
The same service costs 5.5 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.
Washington, DC· 34th of 51
$776
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.