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 $588.84 Median $588.84 Typical High $602.56 | Professional | None | $588.84 | $588.84 | $602.56 |
CareFirst Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $724.44 | Professional | None | $537.03 | $588.84 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $4,897.79 Typical High $8,128.31 | Facility | None | $512.86 | $4,897.79 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $1,659.59 | Professional | None | $537.03 | $645.65 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $588.84 Typical High $977.24 | Professional | None | $512.86 | $588.84 | $977.24 |
United Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $1,380.38 | Facility | None | $407.38 | $645.65 | $1,380.38 |
United Setting Professional Modifier None Typical Low $501.19 Median $741.31 Typical High $1,380.38 | Professional | None | $501.19 | $741.31 | $1,380.38 |
Wellpoint Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $776.25 | Professional | None | $446.68 | $446.68 | $776.25 |
5 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 $295.12 Median $295.12 Typical High $302.00 | Professional | 52 · Reduced service | $295.12 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $120.23 | Professional | 53 · Discontinued | $117.49 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $457.09 | Professional | 54 · Surgery only | $436.52 | $436.52 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $60.26 |
Where Maryland sits
The same service costs 3.9 times more in Alaska than in New York. 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· 48th of 51
$603
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.