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 $147.91 Median $407.38 Typical High $616.60 | Professional | None | $147.91 | $407.38 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $199.53 Typical High $309.03 | Professional | 52 · Reduced service | $74.13 | $199.53 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $79.43 Typical High $123.03 | Professional | 53 · Discontinued | $29.51 | $79.43 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $61.66 Typical High $93.33 | Professional | 55 · Aftercare only | $22.39 | $61.66 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $40.74 Typical High $61.66 | Professional | 56 · Pre-op care only | $14.79 | $40.74 | $61.66 |
CareFirst Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $169.82 | Professional | None | $125.89 | $141.25 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $2,691.53 | Facility | None | $489.78 | $602.56 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $331.13 Typical High $616.60 | Professional | None | $128.82 | $331.13 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $758.58 | Professional | None | $407.38 | $549.54 | $758.58 |
United Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $616.60 | Facility | None | $64.57 | $144.54 | $616.60 |
United Setting Professional Modifier None Typical Low $120.23 Median $380.19 Typical High $741.31 | Professional | None | $120.23 | $380.19 | $741.31 |
Wellpoint Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $645.65 | Professional | None | $117.49 | $117.49 | $645.65 |
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 $109.65 Median $309.03 Typical High $467.74 | Professional | 54 · Surgery only | $109.65 | $309.03 | $467.74 |
Where Maryland sits
The same service costs 4.9 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
$151
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.