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 $478.63 Median $977.24 Typical High $5,370.32 | Professional | None | $478.63 | $977.24 | $5,370.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $1,819.70 Typical High $2,691.53 | Professional | 52 · Reduced service | $239.88 | $1,819.70 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $724.44 Typical High $1,071.52 | Professional | 53 · Discontinued | $95.50 | $724.44 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $537.03 Typical High $794.33 | Professional | 55 · Aftercare only | $70.79 | $537.03 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $363.08 Typical High $537.03 | Professional | 56 · Pre-op care only | $47.86 | $363.08 | $537.03 |
CareFirst Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $524.81 | Professional | None | $389.05 | $426.58 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $4,073.80 Typical High $6,760.83 | Facility | None | $512.86 | $4,073.80 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $1,000.00 Typical High $5,754.40 | Professional | None | $416.87 | $1,000.00 | $5,754.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,467.37 Median $4,570.88 Typical High $6,309.57 | Professional | None | $3,467.37 | $4,570.88 | $6,309.57 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $3,801.89 Typical High $7,079.46 | Facility | None | $1,621.81 | $3,801.89 | $7,079.46 |
United Setting Professional Modifier None Typical Low $407.38 Median $3,388.44 Typical High $7,079.46 | Professional | None | $407.38 | $3,388.44 | $7,079.46 |
Wellpoint Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $5,370.32 | Professional | None | $389.05 | $389.05 | $5,370.32 |
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 $354.81 Median $2,691.53 Typical High $3,981.07 | Professional | 54 · Surgery only | $354.81 | $2,691.53 | $3,981.07 |
Where Maryland sits
The same service costs 12.9 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
$513
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.