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 $758.58 Median $812.83 Typical High $870.96 | Professional | None | $758.58 | $812.83 | $870.96 |
CareFirst Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $707.95 | Professional | None | $630.96 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $4,073.80 Typical High $6,606.93 | Facility | None | $512.86 | $4,073.80 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $630.96 Typical High $851.14 | Professional | None | $616.60 | $630.96 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $870.96 | Professional | None | $575.44 | $645.65 | $870.96 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,570.40 Typical High $5,754.40 | Facility | None | $1,288.25 | $2,570.40 | $5,754.40 |
United Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $1,348.96 | Professional | None | $575.44 | $676.08 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $933.25 | Professional | None | $588.84 | $588.84 | $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 $407.38 Median $407.38 Typical High $426.58 | Professional | 52 · Reduced service | $407.38 | $407.38 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $173.78 | Professional | 53 · Discontinued | $162.18 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $645.65 | Professional | 54 · Surgery only | $602.56 | $602.56 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $128.82 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $87.10 |
Where Maryland sits
The same service costs 9.1 times more in Wyoming 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· 45th of 51
$708
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.