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 $2,570.40 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,570.40 | $2,818.38 | $2,818.38 |
CareFirst Setting Professional Modifier None Typical Low $2,344.23 Median $2,630.27 Typical High $2,691.53 | Professional | None | $2,344.23 | $2,630.27 | $2,691.53 |
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 $2,089.30 Median $2,570.40 Typical High $5,888.44 | Professional | None | $2,089.30 | $2,570.40 | $5,888.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,137.96 Median $2,511.89 Typical High $4,570.88 | Professional | None | $2,137.96 | $2,511.89 | $4,570.88 |
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 $2,238.72 Median $3,801.89 Typical High $6,165.95 | Professional | None | $2,238.72 | $3,801.89 | $6,165.95 |
Wellpoint Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,311.31 | Professional | None | $1,862.09 | $1,862.09 | $3,311.31 |
1 more rate 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 $1,949.84 Median $2,089.30 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,949.84 | $2,089.30 | $2,137.96 |
Where Maryland sits
The same service costs 5.4 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· 48th of 51
$2,344
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.