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 $707.95 Median $1,862.09 Typical High $4,073.80 | Facility | None | $707.95 | $1,862.09 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $707.95 Typical High $707.95 | Professional | None | $588.84 | $707.95 | $707.95 |
CareFirst Setting Professional Modifier None Typical Low $389.05 Median $724.44 Typical High $4,073.80 | Professional | None | $389.05 | $724.44 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,862.09 | Professional | None | $562.34 | $660.69 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $1,230.27 Typical High $1,584.89 | Professional | None | $707.95 | $1,230.27 | $1,584.89 |
United Setting Facility Modifier None Typical Low $537.03 Median $2,511.89 Typical High $27,542.29 | Facility | None | $537.03 | $2,511.89 | $27,542.29 |
United Setting Professional Modifier None Typical Low $446.68 Median $891.25 Typical High $1,905.46 | Professional | None | $446.68 | $891.25 | $1,905.46 |
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 $295.12 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $295.12 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $117.49 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $436.52 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $87.10 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $58.88 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $489.78 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $407.38 | $489.78 | $489.78 |
Where Washington, DC sits
The same service costs 6.9 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.
Washington, DC· 32nd of 51
$724
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.