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 $660.69 Median $660.69 Typical High $691.83 | Professional | None | $660.69 | $660.69 | $691.83 |
CareFirst Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $741.31 | Professional | None | $660.69 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $457.09 Typical High $2,691.53 | Facility | None | $426.58 | $457.09 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $1,230.27 | Professional | None | $602.56 | $645.65 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $1,202.26 | Professional | None | $602.56 | $707.95 | $1,202.26 |
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 $537.03 Median $645.65 Typical High $1,445.44 | Professional | None | $537.03 | $645.65 | $1,445.44 |
Wellpoint Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $933.25 | Professional | None | $616.60 | $616.60 | $933.25 |
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 $331.13 Median $331.13 Typical High $346.74 | Professional | 52 · Reduced service | $331.13 | $331.13 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $138.04 | Professional | 53 · Discontinued | $134.90 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $512.86 | Professional | 54 · Surgery only | $501.19 | $501.19 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $69.18 |
Where Maryland sits
The same service costs 4.7 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.
Maryland· 47th of 51
$661
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.