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 $181.97 Median $2,344.23 Typical High $3,311.31 | Professional | None | $181.97 | $2,344.23 | $3,311.31 |
CareFirst Setting Professional Modifier None Typical Low $158.49 Median $173.78 Typical High $173.78 | Professional | None | $158.49 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $4,168.69 Typical High $6,918.31 | Facility | None | $512.86 | $4,168.69 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $537.03 Typical High $5,011.87 | Professional | None | $169.82 | $537.03 | $5,011.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,570.40 Median $3,019.95 Typical High $5,370.32 | Professional | None | $2,570.40 | $3,019.95 | $5,370.32 |
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 $165.96 Median $2,398.83 Typical High $6,456.54 | Professional | None | $165.96 | $2,398.83 | $6,456.54 |
Wellpoint Setting Professional Modifier None Typical Low $2,570.40 Median $3,630.78 Typical High $4,073.80 | Professional | None | $2,570.40 | $3,630.78 | $4,073.80 |
5 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 $91.20 Median $1,174.90 Typical High $1,659.59 | Professional | 52 · Reduced service | $91.20 | $1,174.90 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $467.74 Typical High $660.69 | Professional | 53 · Discontinued | $36.31 | $467.74 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $1,737.80 Typical High $2,454.71 | Professional | 54 · Surgery only | $138.04 | $1,737.80 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $346.74 Typical High $489.78 | Professional | 55 · Aftercare only | $27.54 | $346.74 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $234.42 Typical High $331.13 | Professional | 56 · Pre-op care only | $18.20 | $234.42 | $331.13 |
Where Maryland sits
The same service costs 33.1 times more in Alaska than in Kentucky. 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· 37th of 51
$1,950
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.