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 $72.44 Median $107.15 Typical High $125.89 | Professional | None | $72.44 | $107.15 | $125.89 |
CareFirst Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | None | $75.86 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $77.62 Typical High $588.84 | Facility | None | $48.98 | $77.62 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $114.82 Typical High $239.88 | Professional | None | $75.86 | $114.82 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $194.98 | Professional | None | $114.82 | $131.83 | $194.98 |
United Setting Facility Modifier None Typical Low $208.93 Median $398.11 Typical High $1,047.13 | Facility | None | $208.93 | $398.11 | $1,047.13 |
United Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $223.87 | Professional | None | $74.13 | $123.03 | $223.87 |
Wellpoint Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $173.78 | Professional | None | $89.13 | $89.13 | $173.78 |
5 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 $36.31 Median $45.71 Typical High $56.23 | Professional | 52 · Reduced service | $36.31 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $19.95 Typical High $22.39 | Professional | 53 · Discontinued | $14.45 | $19.95 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $69.18 Typical High $85.11 | Professional | 54 · Surgery only | $54.95 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $13.80 Typical High $16.98 | Professional | 55 · Aftercare only | $10.96 | $13.80 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $10.00 Typical High $11.22 | Professional | 56 · Pre-op care only | $7.24 | $10.00 | $11.22 |
Where Maryland sits
The same service costs 3.0 times more in Alaska than in Kentucky. 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· 47th of 51
$110
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.