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 $1,862.09 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,862.09 | $2,041.74 | $2,041.74 |
CareFirst Setting Professional Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $1,949.84 | Professional | None | $1,737.80 | $1,905.46 | $1,949.84 |
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 $1,513.56 Median $1,862.09 Typical High $4,168.69 | Professional | None | $1,513.56 | $1,862.09 | $4,168.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $3,311.31 | Professional | None | $1,584.89 | $1,819.70 | $3,311.31 |
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 $1,513.56 Median $2,238.72 Typical High $4,466.84 | Professional | None | $1,513.56 | $2,238.72 | $4,466.84 |
Wellpoint Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,454.71 | Professional | None | $1,445.44 | $1,445.44 | $2,454.71 |
2 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 54 · Surgery only Typical Low $1,380.38 Median $1,513.56 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,380.38 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,412.54 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,412.54 | $1,412.54 |
Where Maryland sits
The same service costs 5.6 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· 43rd of 51
$1,738
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.