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 $371.54 Median $398.11 Typical High $467.74 | Professional | None | $371.54 | $398.11 | $467.74 |
CareFirst Setting Professional Modifier None Typical Low $331.13 Median $371.54 Typical High $446.68 | Professional | None | $331.13 | $371.54 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $2,691.53 Typical High $4,466.84 | Facility | None | $331.13 | $2,691.53 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $1,096.48 | Professional | None | $354.81 | $457.09 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $870.96 | Professional | None | $467.74 | $549.54 | $870.96 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $2,570.40 | Facility | None | $758.58 | $1,380.38 | $2,570.40 |
United Setting Professional Modifier None Typical Low $338.84 Median $549.54 Typical High $954.99 | Professional | None | $338.84 | $549.54 | $954.99 |
Wellpoint Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $724.44 | Professional | None | $354.81 | $354.81 | $724.44 |
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 $181.97 Median $199.53 Typical High $234.42 | Professional | 52 · Reduced service | $181.97 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $79.43 Typical High $93.33 | Professional | 53 · Discontinued | $74.13 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $302.00 Typical High $346.74 | Professional | 54 · Surgery only | $275.42 | $302.00 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $60.26 Typical High $69.18 | Professional | 55 · Aftercare only | $54.95 | $60.26 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $39.81 Typical High $46.77 | Professional | 56 · Pre-op care only | $37.15 | $39.81 | $46.77 |
Where Maryland sits
The same service costs 4.1 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· 43rd of 51
$479
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.