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 $144.54 Median $316.23 Typical High $467.74 | Professional | None | $144.54 | $316.23 | $467.74 |
CareFirst Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $147.91 | Professional | None | $120.23 | $134.90 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $436.52 | Facility | None | $120.23 | $194.98 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $346.74 Typical High $676.08 | Professional | None | $131.83 | $346.74 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $691.83 | Professional | None | $371.54 | $501.19 | $691.83 |
United Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $616.60 | Facility | None | $64.57 | $144.54 | $616.60 |
United Setting Professional Modifier None Typical Low $125.89 Median $316.23 Typical High $724.44 | Professional | None | $125.89 | $316.23 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $676.08 | Professional | None | $275.42 | $275.42 | $676.08 |
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 $72.44 Median $104.71 Typical High $234.42 | Professional | 52 · Reduced service | $72.44 | $104.71 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $42.66 Typical High $93.33 | Professional | 53 · Discontinued | $28.84 | $42.66 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $158.49 Typical High $354.81 | Professional | 54 · Surgery only | $107.15 | $158.49 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $31.62 Typical High $70.79 | Professional | 55 · Aftercare only | $21.38 | $31.62 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $20.89 Typical High $46.77 | Professional | 56 · Pre-op care only | $14.45 | $20.89 | $46.77 |
Where Maryland sits
The same service costs 3.4 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· 47th of 51
$214
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.