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 $2,884.03 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,884.03 | $3,090.30 | $3,090.30 |
CareFirst Setting Professional Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,630.27 | $2,951.21 | $2,951.21 |
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 $2,344.23 Median $2,884.03 Typical High $6,456.54 | Professional | None | $2,344.23 | $2,884.03 | $6,456.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,398.83 Median $2,754.23 Typical High $5,011.87 | Professional | None | $2,398.83 | $2,754.23 | $5,011.87 |
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 $2,290.87 Median $3,311.31 Typical High $6,918.31 | Professional | None | $2,290.87 | $3,311.31 | $6,918.31 |
Wellpoint Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,630.78 | Professional | None | $2,290.87 | $2,290.87 | $3,630.78 |
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 $1,445.44 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,445.44 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $616.60 Typical High $616.60 | Professional | 53 · Discontinued | $575.44 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,137.96 Median $2,344.23 Typical High $2,344.23 | Professional | 54 · Surgery only | $2,137.96 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $467.74 Typical High $467.74 | Professional | 55 · Aftercare only | $426.58 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $309.03 Typical High $309.03 | Professional | 56 · Pre-op care only | $288.40 | $309.03 | $309.03 |
Where Maryland sits
The same service costs 5.8 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· 44th of 51
$2,630
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.