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 $2,089.30 Median $2,089.30 Typical High $2,137.96 | Professional | None | $2,089.30 | $2,089.30 | $2,137.96 |
CareFirst Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,089.30 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $6,760.83 | Facility | None | $501.19 | $1,318.26 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,995.26 Typical High $3,801.89 | Professional | None | $1,862.09 | $1,995.26 | $3,801.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $3,715.35 | Professional | None | $2,089.30 | $2,398.83 | $3,715.35 |
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 $1,548.82 Median $1,995.26 Typical High $4,365.16 | Professional | None | $1,548.82 | $1,995.26 | $4,365.16 |
Wellpoint Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,235.94 | Professional | None | $1,905.46 | $1,905.46 | $3,235.94 |
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 $1,047.13 Median $1,047.13 Typical High $1,071.52 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $436.52 | Professional | 53 · Discontinued | $416.87 | $416.87 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $323.59 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $213.80 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,513.56 |
Where Maryland sits
The same service costs 20.9 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· 41st of 51
$2,089
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.