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 $977.24 Median $1,023.29 Typical High $1,071.52 | Professional | None | $977.24 | $1,023.29 | $1,071.52 |
CareFirst Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,148.15 | Professional | None | $851.14 | $933.25 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $2,630.27 | Facility | None | $512.86 | $1,479.11 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,445.44 | Professional | None | $831.76 | $933.25 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,380.38 | Professional | None | $831.76 | $912.01 | $1,380.38 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $3,890.45 | Facility | None | $954.99 | $1,995.26 | $3,890.45 |
United Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,698.24 | Professional | None | $707.95 | $870.96 | $1,698.24 |
Wellpoint Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,122.02 | Professional | None | $741.31 | $741.31 | $1,122.02 |
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 $512.86 Median $512.86 Typical High $537.03 | Professional | 52 · Reduced service | $512.86 | $512.86 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | 53 · Discontinued | $204.17 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $794.33 | Professional | 54 · Surgery only | $776.25 | $776.25 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $158.49 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $107.15 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $741.31 |
Where Maryland sits
The same service costs 6.0 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· 38th of 51
$933
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.