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 $1,380.38 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,380.38 | $1,513.56 | $1,513.56 |
CareFirst Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,380.38 | Professional | None | $1,230.27 | $1,348.96 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $3,235.94 Typical High $5,754.40 | Facility | None | $645.65 | $3,235.94 | $5,754.40 |
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 $2,454.71 | Professional | None | $1,148.15 | $1,348.96 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $3,801.89 Typical High $7,079.46 | Facility | None | $1,621.81 | $3,801.89 | $7,079.46 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,621.81 Typical High $3,311.31 | Professional | None | $1,122.02 | $1,621.81 | $3,311.31 |
Wellpoint Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,778.28 | Professional | None | $1,000.00 | $1,000.00 | $1,778.28 |
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 $1,047.13 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,047.13 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $977.24 | $1,047.13 | $1,047.13 |
Where Maryland sits
The same service costs 5.4 times more in Wisconsin 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
$1,622
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.