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 $204.17 Median $436.52 Typical High $1,000.00 | Professional | None | $204.17 | $436.52 | $1,000.00 |
CareFirst Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $245.47 | Professional | None | $204.17 | $229.09 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,511.89 Typical High $3,981.07 | Facility | None | $512.86 | $2,511.89 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $537.03 Typical High $1,412.54 | Professional | None | $194.98 | $537.03 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,621.81 | Professional | None | $933.25 | $1,096.48 | $1,621.81 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $3,890.45 | Facility | None | $954.99 | $1,995.26 | $3,890.45 |
United Setting Professional Modifier None Typical Low $194.98 Median $489.78 Typical High $1,698.24 | Professional | None | $194.98 | $489.78 | $1,698.24 |
Wellpoint Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,445.44 | Professional | None | $676.08 | $676.08 | $1,445.44 |
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 $102.33 Median $173.78 Typical High $489.78 | Professional | 52 · Reduced service | $102.33 | $173.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $69.18 Typical High $199.53 | Professional | 53 · Discontinued | $41.69 | $69.18 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $263.03 Typical High $741.31 | Professional | 54 · Surgery only | $154.88 | $263.03 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $52.48 Typical High $147.91 | Professional | 55 · Aftercare only | $30.90 | $52.48 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $34.67 Typical High $100.00 | Professional | 56 · Pre-op care only | $20.42 | $34.67 | $100.00 |
Where Maryland sits
The same service costs 4.4 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· 30th of 51
$676
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.