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 $371.54 Median $371.54 Typical High $380.19 | Professional | None | $371.54 | $371.54 | $380.19 |
CareFirst Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $436.52 | Professional | None | $323.59 | $354.81 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,995.26 Typical High $3,235.94 | Facility | None | $446.68 | $1,995.26 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $338.84 Typical High $537.03 | Professional | None | $316.23 | $338.84 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $323.59 Typical High $501.19 | Professional | None | $295.12 | $323.59 | $501.19 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $2,570.40 | Facility | None | $758.58 | $1,380.38 | $2,570.40 |
United Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $630.96 | Professional | None | $288.40 | $331.13 | $630.96 |
Wellpoint Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $398.11 | Professional | None | $275.42 | $275.42 | $398.11 |
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 $186.21 Median $186.21 Typical High $190.55 | Professional | 52 · Reduced service | $186.21 | $186.21 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | 53 · Discontinued | $74.13 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | 54 · Surgery only | $281.84 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $38.02 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $38.02 |
Where Maryland sits
The same service costs 4.6 times more in Alaska than in Utah. 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
$355
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.