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 $2,137.96 Median $2,238.72 Typical High $3,890.45 | Professional | None | $2,137.96 | $2,238.72 | $3,890.45 |
CareFirst Setting Professional Modifier None Typical Low $2,137.96 Median $2,344.23 Typical High $2,398.83 | Professional | None | $2,137.96 | $2,344.23 | $2,398.83 |
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 $1,949.84 Median $2,570.40 Typical High $5,623.41 | Professional | None | $1,949.84 | $2,570.40 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $2,344.23 Typical High $3,890.45 | Professional | None | $2,041.74 | $2,344.23 | $3,890.45 |
United Setting Facility Modifier None Typical Low $257.04 Median $537.03 Typical High $1,230.27 | Facility | None | $257.04 | $537.03 | $1,230.27 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,818.38 Typical High $5,370.32 | Professional | None | $1,949.84 | $2,818.38 | $5,370.32 |
Wellpoint Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $3,090.30 | Professional | None | $2,041.74 | $2,041.74 | $3,090.30 |
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 $1,071.52 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $1,071.52 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $426.58 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,659.59 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,584.89 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $323.59 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | 56 · Pre-op care only | $213.80 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,548.82 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,548.82 | $1,548.82 |
Where Maryland sits
The same service costs 6.6 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· 43rd of 51
$2,138
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.