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 $354.81 Median $1,174.90 Typical High $1,548.82 | Professional | None | $354.81 | $1,174.90 | $1,548.82 |
CareFirst Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $389.05 | Professional | None | $316.23 | $354.81 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,778.28 Typical High $3,235.94 | Facility | None | $512.86 | $1,778.28 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $1,071.52 Typical High $2,454.71 | Professional | None | $338.84 | $1,071.52 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $2,691.53 | Professional | None | $1,348.96 | $1,621.81 | $2,691.53 |
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 $346.74 Median $1,148.15 Typical High $2,884.03 | Professional | None | $346.74 | $1,148.15 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $2,137.96 | Professional | None | $309.03 | $309.03 | $2,137.96 |
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 $177.83 Median $588.84 Typical High $776.25 | Professional | 52 · Reduced service | $177.83 | $588.84 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $234.42 Typical High $309.03 | Professional | 53 · Discontinued | $70.79 | $234.42 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $870.96 Typical High $1,148.15 | Professional | 54 · Surgery only | $263.03 | $870.96 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $173.78 Typical High $234.42 | Professional | 55 · Aftercare only | $53.70 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $117.49 Typical High $154.88 | Professional | 56 · Pre-op care only | $35.48 | $117.49 | $154.88 |
Where Maryland sits
The same service costs 4.5 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· 43rd of 51
$1,175
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.