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 $46.77 Median $66.07 Typical High $74.13 | Professional | None | $46.77 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $30.90 Typical High $37.15 | Professional | 52 · Reduced service | $22.91 | $30.90 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $12.30 Typical High $14.79 | Professional | 53 · Discontinued | $9.33 | $12.30 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $9.33 Typical High $10.96 | Professional | 55 · Aftercare only | $6.92 | $9.33 | $10.96 |
CareFirst Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $53.70 | Professional | None | $48.98 | $53.70 | $53.70 |
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 $42.66 Median $64.57 Typical High $112.20 | Professional | None | $42.66 | $64.57 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $95.50 Typical High $141.25 | Professional | None | $83.18 | $95.50 | $141.25 |
United Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $616.60 | Facility | None | $64.57 | $144.54 | $616.60 |
United Setting Professional Modifier None Typical Low $44.67 Median $72.44 Typical High $134.90 | Professional | None | $44.67 | $72.44 | $134.90 |
Wellpoint Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $125.89 | Professional | None | $45.71 | $45.71 | $125.89 |
2 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 54 · Surgery only Typical Low $34.67 Median $46.77 Typical High $54.95 | Professional | 54 · Surgery only | $34.67 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $6.03 Typical High $7.41 | Professional | 56 · Pre-op care only | $4.68 | $6.03 | $7.41 |
Where Maryland sits
The same service costs 3.6 times more in Alaska than in Virginia. 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· 48th of 51
$61.66
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.