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 $1,230.27 Median $1,445.44 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,445.44 | $1,621.81 |
CareFirst Setting Professional Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,258.93 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $758.58 Typical High $1,318.26 | Facility | None | $512.86 | $758.58 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $2,754.23 | Professional | None | $1,230.27 | $1,584.89 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $2,884.03 | Professional | None | $1,698.24 | $1,949.84 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $5,754.40 | Facility | None | $1,288.25 | $2,511.89 | $5,754.40 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $3,388.44 | Professional | None | $1,174.90 | $1,548.82 | $3,388.44 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,630.27 | Professional | None | $1,174.90 | $1,174.90 | $2,630.27 |
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 $616.60 Median $724.44 Typical High $812.83 | Professional | 52 · Reduced service | $616.60 | $724.44 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $288.40 Typical High $323.59 | Professional | 53 · Discontinued | $251.19 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $218.78 Typical High $239.88 | Professional | 55 · Aftercare only | $186.21 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $144.54 Typical High $162.18 | Professional | 56 · Pre-op care only | $123.03 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,023.29 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $870.96 | $1,023.29 | $1,122.02 |
Where Maryland 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.
Maryland· 47th of 51
$1,380
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.