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 $1,174.90 Median $3,548.13 Typical High $4,786.30 | Facility | None | $1,174.90 | $3,548.13 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $2,951.21 | Professional | None | $1,122.02 | $1,174.90 | $2,951.21 |
CareFirst Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $7,943.28 | Professional | None | $1,047.13 | $1,258.93 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $3,235.94 | Professional | None | $1,096.48 | $1,148.15 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $2,398.83 Typical High $2,691.53 | Professional | None | $1,096.48 | $2,398.83 | $2,691.53 |
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 $912.01 Median $1,548.82 Typical High $3,311.31 | Professional | None | $912.01 | $1,548.82 | $3,311.31 |
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 $549.54 Median $588.84 Typical High $630.96 | Professional | 52 · Reduced service | $549.54 | $588.84 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $234.42 Typical High $251.19 | Professional | 53 · Discontinued | $218.78 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $870.96 Typical High $933.25 | Professional | 54 · Surgery only | $831.76 | $870.96 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $177.83 Typical High $186.21 | Professional | 55 · Aftercare only | $165.96 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $117.49 Typical High $125.89 | Professional | 56 · Pre-op care only | $109.65 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $812.83 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $776.25 | $812.83 | $870.96 |
Where Washington, DC sits
The same service costs 7.4 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· 36th of 51
$1,259
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.