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 $1,819.70 Median $1,819.70 Typical High $1,949.84 | Professional | None | $1,819.70 | $1,819.70 | $1,949.84 |
CareFirst Setting Professional Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,412.54 | $1,584.89 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,778.28 Typical High $3,162.28 | Facility | None | $676.08 | $1,778.28 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,412.54 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,412.54 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $2,089.30 | Professional | None | $1,380.38 | $1,513.56 | $2,089.30 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,995.26 Typical High $3,890.45 | Facility | None | $954.99 | $1,995.26 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $2,754.23 | Professional | None | $1,000.00 | $1,288.25 | $2,754.23 |
Wellpoint Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $2,137.96 | Professional | None | $1,096.48 | $1,096.48 | $2,137.96 |
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 $912.01 Median $912.01 Typical High $977.24 | Professional | 52 · Reduced service | $912.01 | $912.01 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $389.05 | Professional | 53 · Discontinued | $371.54 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,380.38 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,380.38 | $1,380.38 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $295.12 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $194.98 | Professional | 56 · Pre-op care only | $181.97 | $181.97 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,288.25 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,288.25 | $1,380.38 |
Where Maryland sits
The same service costs 7.6 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· 38th of 51
$1,585
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.