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 $912.01 Median $4,073.80 Typical High $7,079.46 | Facility | None | $912.01 | $4,073.80 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $912.01 | Professional | None | $758.58 | $912.01 | $912.01 |
CareFirst Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,071.52 | Professional | None | $660.69 | $851.14 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $2,454.71 | Professional | None | $645.65 | $851.14 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,659.59 Typical High $2,041.74 | Professional | None | $891.25 | $1,659.59 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,737.80 | $7,943.28 | $27,542.29 |
United Setting Professional Modifier None Typical Low $588.84 Median $1,202.26 Typical High $2,511.89 | Professional | None | $588.84 | $1,202.26 | $2,511.89 |
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 $380.19 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $380.19 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $151.36 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $691.83 Typical High $691.83 | Professional | 54 · Surgery only | $562.34 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $138.04 Typical High $138.04 | Professional | 55 · Aftercare only | $112.20 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $75.86 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $645.65 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $524.81 | $645.65 | $645.65 |
Where Washington, DC sits
The same service costs 7.2 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· 33rd of 51
$933
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.