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 $776.25 Median $870.96 Typical High $1,258.93 | Professional | None | $776.25 | $870.96 | $1,258.93 |
CareFirst Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $933.25 | Professional | None | $758.58 | $851.14 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,818.38 Typical High $5,011.87 | Facility | None | $645.65 | $2,818.38 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $2,344.23 | Professional | None | $758.58 | $891.25 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,348.96 | Professional | None | $724.44 | $831.76 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $2,691.53 Typical High $5,011.87 | Facility | None | $1,348.96 | $2,691.53 | $5,011.87 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,000.00 Typical High $1,995.26 | Professional | None | $676.08 | $1,000.00 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,096.48 | Professional | None | $602.56 | $602.56 | $1,096.48 |
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 $602.56 Median $616.60 Typical High $676.08 | Professional | 54 · Surgery only | $602.56 | $616.60 | $676.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $575.44 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $562.34 | $575.44 | $630.96 |
Where Maryland sits
The same service costs 8.5 times more in Oklahoma 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· 38th of 51
$955
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.