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 $128.82 Median $501.19 Typical High $1,584.89 | Professional | None | $128.82 | $501.19 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $371.54 Typical High $794.33 | Professional | 52 · Reduced service | $64.57 | $371.54 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $147.91 Typical High $316.23 | Professional | 53 · Discontinued | $26.30 | $147.91 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $112.20 Typical High $239.88 | Professional | 55 · Aftercare only | $19.50 | $112.20 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $74.13 Typical High $158.49 | Professional | 56 · Pre-op care only | $12.88 | $74.13 | $158.49 |
CareFirst Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $158.49 | Professional | None | $120.23 | $131.83 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $776.25 Typical High $1,412.54 | Facility | None | $512.86 | $776.25 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $346.74 Typical High $1,348.96 | Professional | None | $114.82 | $346.74 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $1,949.84 | Professional | None | $1,000.00 | $1,412.54 | $1,949.84 |
United Setting Facility Modifier None Typical Low $208.93 Median $398.11 Typical High $1,047.13 | Facility | None | $208.93 | $398.11 | $1,047.13 |
United Setting Professional Modifier None Typical Low $107.15 Median $758.58 Typical High $1,548.82 | Professional | None | $107.15 | $758.58 | $1,548.82 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $1,659.59 | Professional | None | $107.15 | $107.15 | $1,659.59 |
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 $97.72 Median $562.34 Typical High $1,202.26 | Professional | 54 · Surgery only | $97.72 | $562.34 | $1,202.26 |
Where Maryland sits
The same service costs 11.7 times more in Washington 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
$138
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.