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 $213.80 Median $870.96 Typical High $1,148.15 | Professional | None | $213.80 | $870.96 | $1,148.15 |
CareFirst Setting Professional Modifier None Typical Low $190.55 Median $213.80 Typical High $234.42 | Professional | None | $190.55 | $213.80 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,778.28 Typical High $3,162.28 | Facility | None | $512.86 | $1,778.28 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $660.69 Typical High $1,819.70 | Professional | None | $204.17 | $660.69 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,995.26 | Professional | None | $1,000.00 | $1,202.26 | $1,995.26 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $3,890.45 | Facility | None | $954.99 | $1,995.26 | $3,890.45 |
United Setting Professional Modifier None Typical Low $208.93 Median $851.14 Typical High $2,137.96 | Professional | None | $208.93 | $851.14 | $2,137.96 |
Wellpoint Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $1,584.89 | Professional | None | $186.21 | $186.21 | $1,584.89 |
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 $104.71 Median $436.52 Typical High $575.44 | Professional | 52 · Reduced service | $104.71 | $436.52 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $173.78 Typical High $229.09 | Professional | 53 · Discontinued | $42.66 | $173.78 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $660.69 Typical High $870.96 | Professional | 54 · Surgery only | $158.49 | $660.69 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $131.83 Typical High $173.78 | Professional | 55 · Aftercare only | $31.62 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $87.10 Typical High $114.82 | Professional | 56 · Pre-op care only | $21.38 | $87.10 | $114.82 |
Where Maryland sits
The same service costs 5.9 times more in Alaska than in Nebraska. 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· 40th of 51
$933
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.