How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $588.84 Median $1,862.09 Typical High $4,073.80 | Facility | None | $588.84 | $1,862.09 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $588.84 Typical High $588.84 | Professional | None | $562.34 | $588.84 | $588.84 |
CareFirst Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $562.34 | Professional | None | $467.74 | $524.81 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $1,548.82 | Professional | None | $512.86 | $537.03 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $1,202.26 Typical High $1,348.96 | Professional | None | $588.84 | $1,202.26 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $7,943.28 Typical High $27,542.29 | Facility | None | $1,737.80 | $7,943.28 | $27,542.29 |
United Setting Professional Modifier None Typical Low $218.78 Median $630.96 Typical High $1,445.44 | Professional | None | $218.78 | $630.96 | $1,445.44 |
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 $281.84 Median $295.12 Typical High $323.59 | Professional | 52 · Reduced service | $281.84 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $117.49 Typical High $128.82 | Professional | 53 · Discontinued | $112.20 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $446.68 Typical High $489.78 | Professional | 54 · Surgery only | $426.58 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $89.13 Typical High $97.72 | Professional | 55 · Aftercare only | $85.11 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $58.88 Typical High $64.57 | Professional | 56 · Pre-op care only | $56.23 | $58.88 | $64.57 |
Where Washington, DC sits
The same service costs 10.5 times more in Alaska than in Hawaii. 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.
Washington, DC· 31st of 51
$589
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.