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 $812.83 Median $812.83 Typical High $870.96 | Professional | None | $812.83 | $812.83 | $870.96 |
CareFirst Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $891.25 | Professional | None | $812.83 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,698.24 Typical High $2,691.53 | Facility | None | $512.86 | $1,698.24 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $1,445.44 | Professional | None | $707.95 | $812.83 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,479.11 | Professional | None | $851.14 | $954.99 | $1,479.11 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $3,890.45 | Facility | None | $954.99 | $1,995.26 | $3,890.45 |
United Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $1,659.59 | Professional | None | $575.44 | $741.31 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,288.25 | Professional | None | $707.95 | $707.95 | $1,288.25 |
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 $407.38 Median $407.38 Typical High $436.52 | Professional | 52 · Reduced service | $407.38 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $173.78 | Professional | 53 · Discontinued | $162.18 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $645.65 | Professional | 54 · Surgery only | $602.56 | $602.56 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $128.82 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $602.56 |
Where Maryland 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.
Maryland· 40th of 51
$832
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.