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 $1,548.82 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,548.82 | $1,862.09 | $2,818.38 |
CareFirst Setting Professional Modifier None Typical Low $1,513.56 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,513.56 | $1,659.59 | $1,659.59 |
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 $1,380.38 Median $1,698.24 Typical High $3,890.45 | Professional | None | $1,380.38 | $1,698.24 | $3,890.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,412.54 Median $1,621.81 Typical High $2,951.21 | Professional | None | $1,412.54 | $1,621.81 | $2,951.21 |
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 $1,380.38 Median $1,995.26 Typical High $4,073.80 | Professional | None | $1,380.38 | $1,995.26 | $4,073.80 |
Wellpoint Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,137.96 | Professional | None | $1,348.96 | $1,348.96 | $2,137.96 |
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 $851.14 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $851.14 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $338.84 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,380.38 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,288.25 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $275.42 Typical High $281.84 | Professional | 55 · Aftercare only | $257.04 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $169.82 | $186.21 | $186.21 |
Where Maryland sits
The same service costs 5.2 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· 46th of 51
$1,514
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.