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 $91.20 Median $173.78 Typical High $234.42 | Professional | None | $91.20 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $79.43 Typical High $117.49 | Professional | 52 · Reduced service | $45.71 | $79.43 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $31.62 Typical High $46.77 | Professional | 53 · Discontinued | $18.20 | $31.62 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $23.44 Typical High $35.48 | Professional | 55 · Aftercare only | $13.80 | $23.44 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $15.85 Typical High $23.44 | Professional | 56 · Pre-op care only | $9.12 | $15.85 | $23.44 |
CareFirst Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $107.15 | Professional | None | $79.43 | $87.10 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $213.80 Typical High $776.25 | Facility | None | $131.83 | $213.80 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $177.83 Typical High $251.19 | Professional | None | $81.28 | $177.83 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $316.23 | Professional | None | $158.49 | $223.87 | $316.23 |
United Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $1,380.38 | Facility | None | $407.38 | $645.65 | $1,380.38 |
United Setting Professional Modifier None Typical Low $72.44 Median $158.49 Typical High $275.42 | Professional | None | $72.44 | $158.49 | $275.42 |
Wellpoint Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $269.15 | Professional | None | $66.07 | $66.07 | $269.15 |
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 54 · Surgery only Typical Low $69.18 Median $117.49 Typical High $173.78 | Professional | 54 · Surgery only | $69.18 | $117.49 | $173.78 |
Where Maryland sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 51st of 51
$95.50
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.