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 $549.54 Median $562.34 Typical High $707.95 | Professional | None | $549.54 | $562.34 | $707.95 |
CareFirst Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $776.25 | Professional | None | $691.83 | $758.58 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $2,691.53 | Facility | None | $489.78 | $602.56 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $1,698.24 | Professional | None | $588.84 | $741.31 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $1,148.15 | Professional | None | $660.69 | $758.58 | $1,148.15 |
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 $575.44 Median $851.14 Typical High $1,621.81 | Professional | None | $575.44 | $851.14 | $1,621.81 |
Wellpoint Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,000.00 | Professional | None | $602.56 | $602.56 | $1,000.00 |
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 $275.42 Median $281.84 Typical High $309.03 | Professional | 52 · Reduced service | $275.42 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | 53 · Discontinued | $112.20 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $467.74 | Professional | 54 · Surgery only | $416.87 | $416.87 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $85.11 Typical High $93.33 | Professional | 55 · Aftercare only | $83.18 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $56.23 Typical High $61.66 | Professional | 56 · Pre-op care only | $54.95 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $436.52 |
Where Maryland sits
The same service costs 5.9 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· 42nd of 51
$759
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.