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 $3,548.13 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,548.13 | $4,168.69 | $4,168.69 |
CareFirst Setting Professional Modifier None Typical Low $3,548.13 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,548.13 | $3,890.45 | $3,890.45 |
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 $3,162.28 Median $3,801.89 Typical High $8,709.64 | Professional | None | $3,162.28 | $3,801.89 | $8,709.64 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,235.94 Median $3,801.89 Typical High $6,918.31 | Professional | None | $3,235.94 | $3,801.89 | $6,918.31 |
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 $3,090.30 Median $4,466.84 Typical High $9,120.11 | Professional | None | $3,090.30 | $4,466.84 | $9,120.11 |
Wellpoint Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $5,011.87 | Professional | None | $3,019.95 | $3,019.95 | $5,011.87 |
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 $1,862.09 Median $2,089.30 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,862.09 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $831.76 Typical High $831.76 | Professional | 53 · Discontinued | $741.31 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,818.38 Median $3,090.30 Typical High $3,090.30 | Professional | 54 · Surgery only | $2,818.38 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $616.60 Typical High $630.96 | Professional | 55 · Aftercare only | $562.34 | $616.60 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $371.54 Median $416.87 Typical High $416.87 | Professional | 56 · Pre-op care only | $371.54 | $416.87 | $416.87 |
Where Maryland sits
The same service costs 7.4 times more in Alaska than in Arkansas. 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
$3,548
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.