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 $1,445.44 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,445.44 | $1,548.82 | $1,548.82 |
CareFirst Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $1,479.11 | Professional | None | $1,318.26 | $1,445.44 | $1,479.11 |
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 $1,122.02 Median $1,380.38 Typical High $3,162.28 | Professional | None | $1,122.02 | $1,380.38 | $3,162.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $2,398.83 | Professional | None | $1,148.15 | $1,348.96 | $2,398.83 |
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 $1,148.15 Median $1,621.81 Typical High $3,311.31 | Professional | None | $1,148.15 | $1,621.81 | $3,311.31 |
Wellpoint Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,047.13 | $1,737.80 |
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 $1,096.48 Median $1,148.15 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,096.48 | $1,148.15 | $1,174.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,071.52 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,071.52 | $1,096.48 |
Where Maryland sits
The same service costs 4.9 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· 42nd of 51
$1,318
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.