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 $3,388.44 Median $3,890.45 Typical High $7,762.47 | Professional | None | $3,388.44 | $3,890.45 | $7,762.47 |
CareFirst Setting Professional Modifier None Typical Low $3,311.31 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,311.31 | $3,715.35 | $3,715.35 |
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 $2,951.21 Median $3,630.78 Typical High $8,128.31 | Professional | None | $2,951.21 | $3,630.78 | $8,128.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,090.30 Median $3,548.13 Typical High $6,456.54 | Professional | None | $3,090.30 | $3,548.13 | $6,456.54 |
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 $2,818.38 Median $3,981.07 Typical High $8,709.64 | Professional | None | $2,818.38 | $3,981.07 | $8,709.64 |
Wellpoint Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $4,677.35 | Professional | None | $2,630.27 | $2,630.27 | $4,677.35 |
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 $2,691.53 Median $2,951.21 Typical High $2,951.21 | Professional | 54 · Surgery only | $2,691.53 | $2,951.21 | $2,951.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,511.89 Median $2,754.23 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $2,511.89 | $2,754.23 | $2,754.23 |
Where Maryland sits
The same service costs 6.9 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
$3,311
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.