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 $181.97 Median $501.19 Typical High $891.25 | Professional | None | $181.97 | $501.19 | $891.25 |
CareFirst Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $199.53 | Professional | None | $165.96 | $186.21 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,737.80 Typical High $2,818.38 | Facility | None | $446.68 | $1,737.80 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $616.60 Typical High $1,348.96 | Professional | None | $177.83 | $616.60 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,445.44 | Professional | None | $676.08 | $912.01 | $1,445.44 |
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 $181.97 Median $524.81 Typical High $1,659.59 | Professional | None | $181.97 | $524.81 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,230.27 | Professional | None | $616.60 | $616.60 | $1,230.27 |
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 $91.20 Median $245.47 Typical High $426.58 | Professional | 52 · Reduced service | $91.20 | $245.47 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $97.72 Typical High $173.78 | Professional | 53 · Discontinued | $36.31 | $97.72 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $363.08 Typical High $645.65 | Professional | 54 · Surgery only | $138.04 | $363.08 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $72.44 Typical High $128.82 | Professional | 55 · Aftercare only | $27.54 | $72.44 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $48.98 Typical High $87.10 | Professional | 56 · Pre-op care only | $18.20 | $48.98 | $87.10 |
Where Maryland sits
The same service costs 4.8 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
$661
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.