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 $3,548.13 Median $3,548.13 Typical High $3,630.78 | Professional | None | $3,548.13 | $3,548.13 | $3,630.78 |
CareFirst Setting Professional Modifier None Typical Low $3,235.94 Median $3,548.13 Typical High $4,365.16 | Professional | None | $3,235.94 | $3,548.13 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $2,691.53 | Facility | None | $489.78 | $602.56 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $3,235.94 Typical High $5,011.87 | Professional | None | $3,019.95 | $3,235.94 | $5,011.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,951.21 Median $3,235.94 Typical High $4,677.35 | Professional | None | $2,951.21 | $3,235.94 | $4,677.35 |
United Setting Facility Modifier None Typical Low $257.04 Median $537.03 Typical High $1,230.27 | Facility | None | $257.04 | $537.03 | $1,230.27 |
United Setting Professional Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $5,888.44 | Professional | None | $2,630.27 | $3,019.95 | $5,888.44 |
Wellpoint Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,981.07 | Professional | None | $2,818.38 | $2,818.38 | $3,981.07 |
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 $1,778.28 Median $1,778.28 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,778.28 | $1,778.28 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 53 · Discontinued | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,691.53 Median $2,691.53 Typical High $2,754.23 | Professional | 54 · Surgery only | $2,691.53 | $2,691.53 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | 55 · Aftercare only | $537.03 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | 56 · Pre-op care only | $354.81 | $354.81 | $363.08 |
Where Maryland sits
The same service costs 5.2 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· 41st of 51
$3,236
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.