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 $630.96 Median $660.69 Typical High $676.08 | Professional | None | $630.96 | $660.69 | $676.08 |
CareFirst Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $776.25 | Professional | None | $575.44 | $630.96 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,479.11 Typical High $2,344.23 | Facility | None | $446.68 | $1,479.11 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $588.84 Typical High $870.96 | Professional | None | $512.86 | $588.84 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $912.01 | Professional | None | $575.44 | $630.96 | $912.01 |
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 $398.11 Median $537.03 Typical High $1,047.13 | Professional | None | $398.11 | $537.03 | $1,047.13 |
Wellpoint Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $776.25 | Professional | None | $416.87 | $416.87 | $776.25 |
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 $323.59 Median $323.59 Typical High $338.84 | Professional | 52 · Reduced service | $323.59 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $134.90 | Professional | 53 · Discontinued | $131.83 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $512.86 | Professional | 54 · Surgery only | $489.78 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $67.61 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $478.63 |
Where Maryland sits
The same service costs 5.5 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· 38th of 51
$603
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.