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 $316.23 Typical High $416.87 | Professional | None | $181.97 | $316.23 | $416.87 |
CareFirst Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $223.87 | Professional | None | $165.96 | $181.97 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $851.14 Typical High $1,548.82 | Facility | None | $446.68 | $851.14 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $302.00 Typical High $549.54 | Professional | None | $169.82 | $302.00 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $524.81 | Professional | None | $346.74 | $398.11 | $524.81 |
United Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $1,380.38 | Facility | None | $407.38 | $645.65 | $1,380.38 |
United Setting Professional Modifier None Typical Low $169.82 Median $323.59 Typical High $602.56 | Professional | None | $169.82 | $323.59 | $602.56 |
Wellpoint Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $537.03 | Professional | None | $269.15 | $269.15 | $537.03 |
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 $138.04 Typical High $177.83 | Professional | 52 · Reduced service | $91.20 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $54.95 Typical High $70.79 | Professional | 53 · Discontinued | $36.31 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $208.93 Typical High $263.03 | Professional | 54 · Surgery only | $138.04 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $41.69 Typical High $52.48 | Professional | 55 · Aftercare only | $27.54 | $41.69 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $27.54 Typical High $35.48 | Professional | 56 · Pre-op care only | $18.20 | $27.54 | $35.48 |
Where Maryland sits
The same service costs 3.7 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
$339
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.