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 $426.58 Median $3,388.44 Typical High $6,606.93 | Facility | None | $426.58 | $3,388.44 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $426.58 Typical High $512.86 | Professional | None | $416.87 | $426.58 | $512.86 |
CareFirst Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $2,630.27 | Professional | None | $338.84 | $457.09 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $446.68 Typical High $1,174.90 | Professional | None | $416.87 | $446.68 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $954.99 Typical High $1,000.00 | Professional | None | $398.11 | $954.99 | $1,000.00 |
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 $363.08 Median $691.83 Typical High $1,174.90 | Professional | None | $363.08 | $691.83 | $1,174.90 |
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 $208.93 Median $213.80 Typical High $257.04 | Professional | 52 · Reduced service | $208.93 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $83.18 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $323.59 Typical High $389.05 | Professional | 54 · Surgery only | $316.23 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $64.57 Typical High $77.62 | Professional | 55 · Aftercare only | $63.10 | $64.57 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $42.66 Typical High $51.29 | Professional | 56 · Pre-op care only | $41.69 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $302.00 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $295.12 | $302.00 | $363.08 |
Where Washington, DC 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.
Washington, DC· 41st of 51
$457
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.