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 $1,096.48 Median $1,122.02 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,122.02 | $1,288.25 |
CareFirst Setting Professional Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $1,621.81 | Professional | None | $1,348.96 | $1,479.11 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $3,162.28 Typical High $5,248.07 | Facility | None | $512.86 | $3,162.28 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $3,388.44 | Professional | None | $1,202.26 | $1,479.11 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,380.38 Typical High $2,290.87 | Professional | None | $1,202.26 | $1,380.38 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $5,754.40 | Facility | None | $1,288.25 | $2,511.89 | $5,754.40 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,737.80 Typical High $3,311.31 | Professional | None | $1,174.90 | $1,737.80 | $3,311.31 |
Wellpoint Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,819.70 | Professional | None | $1,202.26 | $1,202.26 | $1,819.70 |
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 $549.54 Median $562.34 Typical High $645.65 | Professional | 52 · Reduced service | $549.54 | $562.34 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $223.87 Typical High $257.04 | Professional | 53 · Discontinued | $218.78 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $831.76 Typical High $954.99 | Professional | 54 · Surgery only | $812.83 | $831.76 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $165.96 Typical High $190.55 | Professional | 55 · Aftercare only | $162.18 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $112.20 Typical High $128.82 | Professional | 56 · Pre-op care only | $109.65 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $776.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $758.58 | $776.25 | $891.25 |
Where Maryland sits
The same service costs 6.9 times more in Alaska than in Texas. 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
$1,479
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.