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 $812.83 Median $851.14 Typical High $851.14 | Professional | None | $812.83 | $851.14 | $851.14 |
CareFirst Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $891.25 | Professional | None | $776.25 | $851.14 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $16,982.44 Typical High $28,840.32 | Facility | None | $446.68 | $16,982.44 | $28,840.32 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $2,398.83 | Professional | None | $776.25 | $933.25 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $1,380.38 | Professional | None | $758.58 | $870.96 | $1,380.38 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $7,413.10 Typical High $10,715.19 | Facility | None | $3,090.30 | $7,413.10 | $10,715.19 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,949.84 | Professional | None | $707.95 | $1,047.13 | $1,949.84 |
Wellpoint Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,148.15 | Professional | None | $630.96 | $630.96 | $1,148.15 |
6 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 $416.87 Median $416.87 Typical High $426.58 | Professional | 52 · Reduced service | $416.87 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $173.78 | Professional | 53 · Discontinued | $169.82 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $645.65 | Professional | 54 · Surgery only | $630.96 | $630.96 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $602.56 |
Where Maryland sits
The same service costs 6.8 times more in Alaska than in Texas. 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· 39th 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.