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 $1,995.26 Median $1,995.26 Typical High $2,089.30 | Professional | None | $1,995.26 | $1,995.26 | $2,089.30 |
CareFirst Setting Professional Modifier None Typical Low $2,290.87 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,290.87 | $2,511.89 | $2,511.89 |
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 $1,778.28 Median $1,995.26 Typical High $3,630.78 | Professional | None | $1,778.28 | $1,995.26 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $3,715.35 | Professional | None | $1,862.09 | $2,137.96 | $3,715.35 |
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 $1,548.82 Median $1,949.84 Typical High $4,466.84 | Professional | None | $1,548.82 | $1,949.84 | $4,466.84 |
Wellpoint Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,884.03 | Professional | None | $1,905.46 | $1,905.46 | $2,884.03 |
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 $1,000.00 Median $1,000.00 Typical High $1,023.29 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | 53 · Discontinued | $398.11 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,479.11 | $1,479.11 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,380.38 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $1,445.44 |
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· 38th of 51
$2,291
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.