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 $2,238.72 Median $2,238.72 Typical High $2,344.23 | Professional | None | $2,238.72 | $2,238.72 | $2,344.23 |
CareFirst Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,344.23 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,951.21 Typical High $5,011.87 | Facility | None | $512.86 | $2,951.21 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $3,981.07 | Professional | None | $1,737.80 | $2,238.72 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,137.96 Median $2,454.71 Typical High $4,073.80 | Professional | None | $2,137.96 | $2,454.71 | $4,073.80 |
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 $1,548.82 Median $2,137.96 Typical High $4,897.79 | Professional | None | $1,548.82 | $2,137.96 | $4,897.79 |
Wellpoint Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $3,235.94 | Professional | None | $1,819.70 | $1,819.70 | $3,235.94 |
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 $1,122.02 Median $1,122.02 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $467.74 | Professional | 53 · Discontinued | $446.68 | $446.68 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $346.74 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $234.42 | Professional | 56 · Pre-op care only | $223.87 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $1,621.81 |
Where Maryland sits
The same service costs 21.4 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· 36th of 51
$2,344
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.