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 $501.19 Median $575.44 Typical High $575.44 | Professional | None | $501.19 | $575.44 | $575.44 |
CareFirst Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $616.60 | Professional | None | $457.09 | $512.86 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,659.59 Typical High $2,691.53 | Facility | None | $512.86 | $1,659.59 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $1,202.26 | Professional | None | $436.52 | $478.63 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $933.25 | Professional | None | $436.52 | $501.19 | $933.25 |
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 $426.58 Median $602.56 Typical High $1,258.93 | Professional | None | $426.58 | $602.56 | $1,258.93 |
Wellpoint Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $676.08 | Professional | None | $389.05 | $389.05 | $676.08 |
1 more rate 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 78 · Unplanned return to OR Typical Low $371.54 Median $398.11 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $371.54 | $398.11 | $407.38 |
Where Maryland sits
The same service costs 5.0 times more in Alaska than in New York. 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
$661
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.