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 $1,122.02 Median $1,148.15 Typical High $1,202.26 | Professional | None | $1,122.02 | $1,148.15 | $1,202.26 |
CareFirst Setting Professional Modifier None Typical Low $1,000.00 Median $1,122.02 Typical High $1,348.96 | Professional | None | $1,000.00 | $1,122.02 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,951.21 Typical High $5,011.87 | Facility | None | $512.86 | $2,951.21 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,513.56 | Professional | None | $870.96 | $1,071.52 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,513.56 | Professional | None | $912.01 | $1,023.29 | $1,513.56 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $2,570.40 | Facility | None | $758.58 | $1,412.54 | $2,570.40 |
United Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,862.09 | Professional | None | $758.58 | $954.99 | $1,862.09 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,230.27 | Professional | None | $831.76 | $831.76 | $1,230.27 |
6 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 $575.44 Median $575.44 Typical High $602.56 | Professional | 52 · Reduced service | $575.44 | $575.44 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | 53 · Discontinued | $229.09 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $912.01 | Professional | 54 · Surgery only | $870.96 | $870.96 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $181.97 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $120.23 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $851.14 |
Where Maryland sits
The same service costs 5.6 times more in Alaska 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· 34th of 51
$1,072
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.