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 $3,235.94 Median $3,235.94 Typical High $3,311.31 | Professional | None | $3,235.94 | $3,235.94 | $3,311.31 |
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 $2,691.53 Median $3,388.44 Typical High $6,760.83 | Professional | None | $2,691.53 | $3,388.44 | $6,760.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,754.23 Median $3,162.28 Typical High $5,248.07 | Professional | None | $2,754.23 | $3,162.28 | $5,248.07 |
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 $1,905.46 Median $3,019.95 Typical High $8,912.51 | Professional | None | $1,905.46 | $3,019.95 | $8,912.51 |
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 $1,621.81 Median $1,621.81 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,621.81 | $1,621.81 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $645.65 Typical High $660.69 | Professional | 53 · Discontinued | $645.65 | $645.65 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,398.83 Median $2,398.83 Typical High $2,511.89 | Professional | 54 · Surgery only | $2,398.83 | $2,398.83 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $478.63 Median $489.78 Typical High $501.19 | Professional | 55 · Aftercare only | $478.63 | $489.78 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | 56 · Pre-op care only | $323.59 | $323.59 | $331.13 |
Where Maryland sits
The same service costs 7.1 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· 49th of 51
$2,291
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.