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 $199.53 Median $331.13 Typical High $691.83 | Professional | None | $199.53 | $331.13 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $134.90 Typical High $338.84 | Professional | 52 · Reduced service | $100.00 | $134.90 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $53.70 Typical High $138.04 | Professional | 53 · Discontinued | $40.74 | $53.70 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $40.74 Typical High $102.33 | Professional | 55 · Aftercare only | $30.20 | $40.74 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $26.92 Typical High $69.18 | Professional | 56 · Pre-op care only | $19.95 | $26.92 | $69.18 |
CareFirst Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $239.88 | Professional | None | $173.78 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $1,202.26 | Facility | None | $512.86 | $676.08 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $467.74 Typical High $645.65 | Professional | None | $177.83 | $467.74 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $977.24 | Professional | None | $537.03 | $707.95 | $977.24 |
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 $162.18 Median $457.09 Typical High $851.14 | Professional | None | $162.18 | $457.09 | $851.14 |
Wellpoint Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $831.76 | Professional | None | $436.52 | $436.52 | $831.76 |
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 $151.36 Median $199.53 Typical High $512.86 | Professional | 54 · Surgery only | $151.36 | $199.53 | $512.86 |
Where Maryland sits
The same service costs 4.6 times more in Alaska than in Washington, DC. 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· 50th of 51
$263
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.