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 $831.76 Median $831.76 Typical High $870.96 | Professional | None | $831.76 | $831.76 | $870.96 |
CareFirst Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $933.25 | Professional | None | $831.76 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $4,677.35 Typical High $7,762.47 | Facility | None | $630.96 | $4,677.35 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $1,513.56 | Professional | None | $741.31 | $831.76 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,479.11 | Professional | None | $831.76 | $933.25 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $5,754.40 | Facility | None | $1,288.25 | $2,511.89 | $5,754.40 |
United Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,778.28 | Professional | None | $630.96 | $794.33 | $1,778.28 |
Wellpoint Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,258.93 | Professional | None | $776.25 | $776.25 | $1,258.93 |
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 $416.87 Median $416.87 Typical High $436.52 | Professional | 52 · Reduced service | $416.87 | $416.87 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $173.78 | Professional | 53 · Discontinued | $165.96 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $660.69 | Professional | 54 · Surgery only | $630.96 | $630.96 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $616.60 |
Where Maryland sits
The same service costs 7.8 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· 44th of 51
$871
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.