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 $630.96 Typical High $912.01 | Professional | None | $213.80 | $630.96 | $912.01 |
CareFirst Setting Professional Modifier None Typical Low $190.55 Median $213.80 Typical High $213.80 | Professional | None | $190.55 | $213.80 | $213.80 |
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 $204.17 Median $660.69 Typical High $1,412.54 | Professional | None | $204.17 | $660.69 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,513.56 | Professional | None | $707.95 | $954.99 | $1,513.56 |
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 $186.21 Median $616.60 Typical High $1,905.46 | Professional | None | $186.21 | $616.60 | $1,905.46 |
Wellpoint Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,258.93 | Professional | None | $691.83 | $691.83 | $1,258.93 |
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 $316.23 Typical High $446.68 | Professional | 52 · Reduced service | $104.71 | $316.23 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $125.89 Typical High $177.83 | Professional | 53 · Discontinued | $42.66 | $125.89 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $478.63 Typical High $676.08 | Professional | 54 · Surgery only | $158.49 | $478.63 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $95.50 Typical High $134.90 | Professional | 55 · Aftercare only | $31.62 | $95.50 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $63.10 Typical High $89.13 | Professional | 56 · Pre-op care only | $21.38 | $63.10 | $89.13 |
Where Maryland sits
The same service costs 4.2 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· 37th of 51
$724
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.