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 $1,348.96 Median $1,348.96 Typical High $1,412.54 | Professional | None | $1,348.96 | $1,348.96 | $1,412.54 |
CareFirst Setting Professional Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,380.38 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $4,073.80 Typical High $6,760.83 | Facility | None | $512.86 | $4,073.80 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $2,454.71 | Professional | None | $1,230.27 | $1,288.25 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $2,454.71 | Professional | None | $1,288.25 | $1,479.11 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $5,754.40 | Facility | None | $1,288.25 | $2,511.89 | $5,754.40 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $2,884.03 | Professional | None | $1,047.13 | $1,288.25 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,995.26 | Professional | None | $1,288.25 | $1,288.25 | $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 $676.08 Median $676.08 Typical High $707.95 | Professional | 52 · Reduced service | $676.08 | $676.08 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $281.84 | Professional | 53 · Discontinued | $269.15 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $141.25 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $977.24 |
Where Maryland sits
The same service costs 7.2 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
$1,413
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.