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 $398.11 Median $1,778.28 Typical High $2,454.71 | Professional | None | $398.11 | $1,778.28 | $2,454.71 |
CareFirst Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $363.08 | Professional | None | $323.59 | $363.08 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $3,630.78 Typical High $6,456.54 | Facility | None | $512.86 | $3,630.78 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $1,047.13 Typical High $3,467.37 | Professional | None | $316.23 | $1,047.13 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $4,073.80 | Professional | None | $1,621.81 | $2,137.96 | $4,073.80 |
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 $338.84 Median $1,698.24 Typical High $4,897.79 | Professional | None | $338.84 | $1,698.24 | $4,897.79 |
Wellpoint Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $2,951.21 | Professional | None | $309.03 | $309.03 | $2,951.21 |
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 $208.93 Median $891.25 Typical High $1,230.27 | Professional | 52 · Reduced service | $208.93 | $891.25 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $354.81 Typical High $489.78 | Professional | 53 · Discontinued | $83.18 | $354.81 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $1,348.96 Typical High $1,862.09 | Professional | 54 · Surgery only | $316.23 | $1,348.96 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $269.15 Typical High $371.54 | Professional | 55 · Aftercare only | $63.10 | $269.15 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $177.83 Typical High $245.47 | Professional | 56 · Pre-op care only | $41.69 | $177.83 | $245.47 |
Where Maryland sits
The same service costs 6.9 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· 37th of 51
$1,905
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.