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 $3,235.94 Median $3,235.94 Typical High $3,548.13 | Professional | None | $3,235.94 | $3,235.94 | $3,548.13 |
CareFirst Setting Professional Modifier None Typical Low $2,884.03 Median $3,162.28 Typical High $3,162.28 | Professional | None | $2,884.03 | $3,162.28 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $2,691.53 | Facility | None | $489.78 | $602.56 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $3,235.94 Typical High $7,585.78 | Professional | None | $2,691.53 | $3,235.94 | $7,585.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,691.53 Median $3,090.30 Typical High $5,248.07 | Professional | None | $2,691.53 | $3,090.30 | $5,248.07 |
United Setting Facility Modifier None Typical Low $257.04 Median $537.03 Typical High $1,230.27 | Facility | None | $257.04 | $537.03 | $1,230.27 |
United Setting Professional Modifier None Typical Low $2,570.40 Median $3,890.45 Typical High $7,413.10 | Professional | None | $2,570.40 | $3,890.45 | $7,413.10 |
Wellpoint Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $4,073.80 | Professional | None | $2,454.71 | $2,454.71 | $4,073.80 |
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 $1,584.89 Median $1,584.89 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $645.65 Typical High $707.95 | Professional | 53 · Discontinued | $645.65 | $645.65 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,398.83 Median $2,398.83 Typical High $2,630.27 | Professional | 54 · Surgery only | $2,398.83 | $2,398.83 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | 55 · Aftercare only | $478.63 | $478.63 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $323.59 Typical High $354.81 | Professional | 56 · Pre-op care only | $323.59 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,238.72 Median $2,238.72 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $2,238.72 | $2,238.72 | $2,454.71 |
Where Maryland sits
The same service costs 17.0 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.
Maryland· 39th of 51
$2,951
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.