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 $338.84 Median $416.87 Typical High $1,318.26 | Professional | None | $338.84 | $416.87 | $1,318.26 |
CareFirst Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $354.81 | Professional | None | $251.19 | $275.42 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,698.24 Typical High $3,090.30 | Facility | None | $645.65 | $1,698.24 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $870.96 Typical High $2,089.30 | Professional | None | $275.42 | $870.96 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $2,238.72 | Professional | None | $912.01 | $1,202.26 | $2,238.72 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $3,890.45 | Facility | None | $954.99 | $1,995.26 | $3,890.45 |
United Setting Professional Modifier None Typical Low $295.12 Median $954.99 Typical High $2,630.27 | Professional | None | $295.12 | $954.99 | $2,630.27 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,621.81 | Professional | None | $977.24 | $977.24 | $1,621.81 |
3 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 $251.19 Median $741.31 Typical High $977.24 | Professional | 54 · Surgery only | $251.19 | $741.31 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $147.91 Typical High $194.98 | Professional | 55 · Aftercare only | $50.12 | $147.91 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $97.72 Typical High $131.83 | Professional | 56 · Pre-op care only | $33.88 | $97.72 | $131.83 |
Where Maryland sits
The same service costs 4.8 times more in Alaska than in Nebraska. 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· 38th of 51
$1,122
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.