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 $138.04 Median $229.09 Typical High $251.19 | Professional | None | $138.04 | $229.09 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $102.33 Typical High $123.03 | Professional | 52 · Reduced service | $69.18 | $102.33 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $40.74 Typical High $50.12 | Professional | 53 · Discontinued | $27.54 | $40.74 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $30.20 Typical High $37.15 | Professional | 55 · Aftercare only | $20.89 | $30.20 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $20.42 Typical High $24.55 | Professional | 56 · Pre-op care only | $13.80 | $20.42 | $24.55 |
CareFirst Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $131.83 | Professional | None | $97.72 | $107.15 | $131.83 |
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 $120.23 Median $199.53 Typical High $281.84 | Professional | None | $120.23 | $199.53 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $371.54 | Professional | None | $194.98 | $263.03 | $371.54 |
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 $112.20 Median $177.83 Typical High $316.23 | Professional | None | $112.20 | $177.83 | $316.23 |
Wellpoint Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $316.23 | Professional | None | $154.88 | $154.88 | $316.23 |
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 $104.71 Median $151.36 Typical High $186.21 | Professional | 54 · Surgery only | $104.71 | $151.36 | $186.21 |
Where Maryland sits
The same service costs 3.6 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
$155
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.