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 $478.63 Median $512.86 Typical High $660.69 | Professional | None | $478.63 | $512.86 | $660.69 |
CareFirst Setting Professional Modifier None Typical Low $489.78 Median $537.03 Typical High $537.03 | Professional | None | $489.78 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,698.24 Typical High $3,162.28 | Facility | None | $1,000.00 | $1,698.24 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $870.96 | Professional | None | $426.58 | $489.78 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $549.54 Typical High $870.96 | Professional | None | $489.78 | $549.54 | $870.96 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $2,570.40 | Facility | None | $758.58 | $1,380.38 | $2,570.40 |
United Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $1,000.00 | Professional | None | $354.81 | $457.09 | $1,000.00 |
Wellpoint Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $741.31 | Professional | None | $436.52 | $436.52 | $741.31 |
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 $239.88 Median $239.88 Typical High $257.04 | Professional | 52 · Reduced service | $239.88 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | 53 · Discontinued | $95.50 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $380.19 | Professional | 54 · Surgery only | $363.08 | $363.08 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $75.86 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $51.29 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $338.84 | $338.84 | $354.81 |
Where Maryland sits
The same service costs 6.9 times more in Alaska than in Utah. 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· 39th of 51
$513
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.