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 $562.34 Median $575.44 Typical High $588.84 | Professional | None | $562.34 | $575.44 | $588.84 |
CareFirst Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $524.81 | Professional | None | $467.74 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,348.96 Typical High $6,760.83 | Facility | None | $549.54 | $1,348.96 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $537.03 Typical High $1,023.29 | Professional | None | $501.19 | $537.03 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $1,023.29 | Professional | None | $575.44 | $645.65 | $1,023.29 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,089.30 Typical High $8,912.51 | Facility | None | $954.99 | $2,089.30 | $8,912.51 |
United Setting Professional Modifier None Typical Low $208.93 Median $380.19 Typical High $1,000.00 | Professional | None | $208.93 | $380.19 | $1,000.00 |
Wellpoint Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
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 $281.84 Typical High $295.12 | Professional | 52 · Reduced service | $281.84 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | 53 · Discontinued | $112.20 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $446.68 | Professional | 54 · Surgery only | $426.58 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $89.13 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $58.88 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $58.88 |
Where Maryland 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.
Maryland· 40th of 51
$525
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.