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 $1,047.13 Median $3,388.44 Typical High $6,606.93 | Facility | None | $1,047.13 | $3,388.44 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,096.48 | Professional | None | $1,000.00 | $1,047.13 | $1,096.48 |
CareFirst Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $9,772.37 | Professional | None | $977.24 | $1,096.48 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,000.00 Typical High $2,818.38 | Professional | None | $977.24 | $1,000.00 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $2,137.96 Typical High $2,344.23 | Professional | None | $977.24 | $2,137.96 | $2,344.23 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $42,657.95 | Facility | None | $2,754.23 | $5,128.61 | $42,657.95 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,479.11 Typical High $2,884.03 | Professional | None | $812.83 | $1,479.11 | $2,884.03 |
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 $489.78 Median $524.81 Typical High $549.54 | Professional | 52 · Reduced service | $489.78 | $524.81 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $208.93 Typical High $223.87 | Professional | 53 · Discontinued | $194.98 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $776.25 Typical High $831.76 | Professional | 54 · Surgery only | $724.44 | $776.25 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $154.88 Typical High $165.96 | Professional | 55 · Aftercare only | $144.54 | $154.88 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $104.71 Typical High $112.20 | Professional | 56 · Pre-op care only | $97.72 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $724.44 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $676.08 | $724.44 | $776.25 |
Where Washington, DC sits
The same service costs 7.4 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· 38th of 51
$1,096
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.