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 $363.08 Median $1,318.26 Typical High $2,089.30 | Professional | None | $363.08 | $1,318.26 | $2,089.30 |
CareFirst Setting Professional Modifier None Typical Low $281.84 Median $309.03 Typical High $331.13 | Professional | None | $281.84 | $309.03 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,698.24 Typical High $3,090.30 | Facility | None | $588.84 | $1,698.24 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $954.99 Typical High $2,818.38 | Professional | None | $295.12 | $954.99 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $1,819.70 Typical High $3,235.94 | Professional | None | $1,380.38 | $1,819.70 | $3,235.94 |
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 $302.00 Median $1,318.26 Typical High $3,801.89 | Professional | None | $302.00 | $1,318.26 | $3,801.89 |
Wellpoint Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $2,511.89 | Professional | None | $257.04 | $257.04 | $2,511.89 |
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 $181.97 Median $660.69 Typical High $1,047.13 | Professional | 52 · Reduced service | $181.97 | $660.69 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $263.03 Typical High $416.87 | Professional | 53 · Discontinued | $72.44 | $263.03 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $1,000.00 Typical High $1,584.89 | Professional | 54 · Surgery only | $269.15 | $1,000.00 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $199.53 Typical High $316.23 | Professional | 55 · Aftercare only | $53.70 | $199.53 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $131.83 Typical High $208.93 | Professional | 56 · Pre-op care only | $36.31 | $131.83 | $208.93 |
Where Maryland sits
The same service costs 6.3 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· 42nd of 51
$1,445
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.