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 $794.33 Typical High $912.01 | Professional | None | $776.25 | $794.33 | $912.01 |
CareFirst Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,047.13 | Professional | None | $954.99 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $5,128.61 Typical High $8,317.64 | Facility | None | $645.65 | $5,128.61 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $2,398.83 | Professional | None | $851.14 | $1,047.13 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $1,621.81 | Professional | None | $870.96 | $977.24 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $3,801.89 Typical High $7,079.46 | Facility | None | $1,621.81 | $3,801.89 | $7,079.46 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,202.26 Typical High $2,290.87 | Professional | None | $812.83 | $1,202.26 | $2,290.87 |
Wellpoint Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,288.25 | Professional | None | $870.96 | $870.96 | $1,288.25 |
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 $575.44 Median $588.84 Typical High $660.69 | Professional | 54 · Surgery only | $575.44 | $588.84 | $660.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $549.54 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $537.03 | $549.54 | $616.60 |
Where Maryland sits
The same service costs 8.3 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
$1,148
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.