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 $478.63 Median $512.86 Typical High $741.31 | Professional | None | $478.63 | $512.86 | $741.31 |
CareFirst Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $501.19 | Professional | None | $446.68 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,344.23 Typical High $4,168.69 | Facility | None | $645.65 | $2,344.23 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $1,047.13 | Professional | None | $436.52 | $489.78 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $776.25 | Professional | None | $398.11 | $457.09 | $776.25 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $3,890.45 | Facility | None | $954.99 | $1,995.26 | $3,890.45 |
United Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $1,122.02 | Professional | None | $389.05 | $549.54 | $1,122.02 |
Wellpoint Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $602.56 | Professional | None | $354.81 | $354.81 | $602.56 |
1 more rate 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 $363.08 Median $363.08 Typical High $398.11 | Professional | 54 · Surgery only | $363.08 | $363.08 | $398.11 |
Where Maryland sits
The same service costs 4.3 times more in Alaska than in New York. 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· 46th of 51
$513
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.