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 $2,570.40 Median $2,570.40 Typical High $2,630.27 | Professional | None | $2,570.40 | $2,570.40 | $2,630.27 |
CareFirst Setting Professional Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,454.71 | $2,951.21 |
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 $1,995.26 Median $2,290.87 Typical High $3,467.37 | Professional | None | $1,995.26 | $2,290.87 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $3,311.31 | Professional | None | $2,089.30 | $2,290.87 | $3,311.31 |
United Setting Facility Modifier None Typical Low $257.04 Median $537.03 Typical High $1,230.27 | Facility | None | $257.04 | $537.03 | $1,230.27 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $4,265.80 | Professional | None | $1,621.81 | $2,137.96 | $4,265.80 |
Wellpoint Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,818.38 | Professional | None | $1,819.70 | $1,819.70 | $2,818.38 |
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 $1,288.25 Median $1,288.25 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $524.81 | Professional | 53 · Discontinued | $512.86 | $512.86 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $389.05 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $263.03 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,778.28 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,778.28 | $1,819.70 |
Where Maryland sits
The same service costs 22.4 times more in Alaska than in Texas. 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· 35th of 51
$2,344
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.