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 $724.44 Median $4,073.80 Typical High $7,079.46 | Facility | None | $724.44 | $4,073.80 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $776.25 | Professional | None | $691.83 | $724.44 | $776.25 |
CareFirst Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $3,715.35 | Professional | None | $676.08 | $741.31 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $660.69 Typical High $1,949.84 | Professional | None | $645.65 | $660.69 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $1,445.44 Typical High $1,659.59 | Professional | None | $691.83 | $1,445.44 | $1,659.59 |
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 $537.03 Median $933.25 Typical High $1,995.26 | Professional | None | $537.03 | $933.25 | $1,995.26 |
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 $346.74 Median $363.08 Typical High $389.05 | Professional | 52 · Reduced service | $346.74 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $144.54 Typical High $154.88 | Professional | 53 · Discontinued | $138.04 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $537.03 Typical High $588.84 | Professional | 54 · Surgery only | $512.86 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $107.15 Typical High $117.49 | Professional | 55 · Aftercare only | $102.33 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $72.44 Typical High $77.62 | Professional | 56 · Pre-op care only | $69.18 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $501.19 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $478.63 | $501.19 | $549.54 |
Where Washington, DC sits
The same service costs 5.9 times more in Alaska than in Utah. 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· 40th of 51
$741
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.