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 $144.54 Median $501.19 Typical High $794.33 | Professional | None | $144.54 | $501.19 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $275.42 Typical High $398.11 | Professional | 52 · Reduced service | $70.79 | $275.42 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $109.65 Typical High $158.49 | Professional | 53 · Discontinued | $28.84 | $109.65 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $83.18 Typical High $120.23 | Professional | 55 · Aftercare only | $21.38 | $83.18 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $54.95 Typical High $79.43 | Professional | 56 · Pre-op care only | $14.45 | $54.95 | $79.43 |
CareFirst Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $177.83 | Professional | None | $128.82 | $144.54 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,778.28 Typical High $3,162.28 | Facility | None | $512.86 | $1,778.28 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $331.13 Typical High $891.25 | Professional | None | $128.82 | $331.13 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $977.24 | Professional | None | $524.81 | $707.95 | $977.24 |
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 $117.49 Median $501.19 Typical High $1,096.48 | Professional | None | $117.49 | $501.19 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $831.76 | Professional | None | $120.23 | $120.23 | $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 $107.15 Median $416.87 Typical High $588.84 | Professional | 54 · Surgery only | $107.15 | $416.87 | $588.84 |
Where Maryland sits
The same service costs 6.3 times more in Iowa than in Maryland. 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· 51st of 51
$162
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.