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 $724.44 Median $741.31 Typical High $912.01 | Professional | None | $724.44 | $741.31 | $912.01 |
CareFirst Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $977.24 | Professional | None | $851.14 | $954.99 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,311.31 Typical High $5,248.07 | Facility | None | $630.96 | $3,311.31 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $2,238.72 | Professional | None | $794.33 | $977.24 | $2,238.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,513.56 | Professional | None | $812.83 | $933.25 | $1,513.56 |
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 $776.25 Median $1,148.15 Typical High $2,137.96 | Professional | None | $776.25 | $1,148.15 | $2,137.96 |
Wellpoint Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,230.27 | Professional | None | $812.83 | $812.83 | $1,230.27 |
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 $549.54 Median $549.54 Typical High $616.60 | Professional | 54 · Surgery only | $549.54 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $575.44 |
Where Maryland sits
The same service costs 6.5 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· 43rd of 51
$1,000
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.