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 $380.19 Typical High $416.87 | Professional | None | $371.54 | $380.19 | $416.87 |
CareFirst Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $398.11 | Professional | None | $354.81 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $1,698.24 Typical High $2,818.38 | Facility | None | $346.74 | $1,698.24 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $1,096.48 | Professional | None | $354.81 | $426.58 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $630.96 | Professional | None | $354.81 | $407.38 | $630.96 |
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 $316.23 Median $467.74 Typical High $933.25 | Professional | None | $316.23 | $467.74 | $933.25 |
Wellpoint Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $537.03 | Professional | None | $288.40 | $288.40 | $537.03 |
2 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 54 · Surgery only Typical Low $275.42 Median $288.40 Typical High $316.23 | Professional | 54 · Surgery only | $275.42 | $288.40 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $269.15 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $257.04 | $269.15 | $295.12 |
Where Maryland sits
The same service costs 6.2 times more in Alaska than in Utah. 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
$457
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.