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 $1,023.29 Median $1,047.13 Typical High $1,148.15 | Professional | None | $1,023.29 | $1,047.13 | $1,148.15 |
CareFirst Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $977.24 | Professional | None | $891.25 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,513.56 Typical High $2,691.53 | Facility | None | $512.86 | $1,513.56 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $2,398.83 | Professional | None | $851.14 | $1,023.29 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,698.24 | Professional | None | $891.25 | $1,047.13 | $1,698.24 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $2,570.40 | Facility | None | $758.58 | $1,380.38 | $2,570.40 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,202.26 Typical High $2,290.87 | Professional | None | $794.33 | $1,202.26 | $2,290.87 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,380.38 | Professional | None | $707.95 | $707.95 | $1,380.38 |
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 $512.86 Median $512.86 Typical High $575.44 | Professional | 52 · Reduced service | $512.86 | $512.86 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | 53 · Discontinued | $204.17 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $870.96 | Professional | 54 · Surgery only | $758.58 | $758.58 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $173.78 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $812.83 |
Where Maryland sits
The same service costs 6.3 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.
Maryland· 40th of 51
$1,047
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.