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 $1,905.46 Median $1,905.46 Typical High $1,995.26 | Professional | None | $1,905.46 | $1,905.46 | $1,995.26 |
CareFirst Setting Professional Modifier None Typical Low $1,995.26 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,995.26 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $3,715.35 Typical High $6,309.57 | Facility | None | $512.86 | $3,715.35 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $3,467.37 | Professional | None | $1,698.24 | $1,949.84 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $3,388.44 | Professional | None | $1,737.80 | $1,995.26 | $3,388.44 |
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 $1,584.89 Median $1,905.46 Typical High $4,168.69 | Professional | None | $1,584.89 | $1,905.46 | $4,168.69 |
Wellpoint Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,691.53 | Professional | None | $1,778.28 | $1,778.28 | $2,691.53 |
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 $954.99 Median $954.99 Typical High $1,000.00 | Professional | 52 · Reduced service | $954.99 | $954.99 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $398.11 | Professional | 53 · Discontinued | $380.19 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,445.44 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,445.44 | $1,445.44 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $302.00 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $199.53 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,348.96 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,348.96 | $1,412.54 |
Where Maryland sits
The same service costs 21.9 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· 43rd of 51
$1,995
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.