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 $691.83 Median $707.95 Typical High $707.95 | Professional | None | $691.83 | $707.95 | $707.95 |
CareFirst Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $1,071.52 | Professional | None | $794.33 | $870.96 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $1,122.02 | Professional | None | $645.65 | $758.58 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,258.93 | Professional | None | $741.31 | $870.96 | $1,258.93 |
United Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $1,288.25 | Professional | None | $489.78 | $588.84 | $1,288.25 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $1,071.52 | Professional | None | $501.19 | $501.19 | $1,071.52 |
4 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 $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $346.74 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $138.04 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $104.71 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $69.18 | $70.79 | $70.79 |
Where Maryland sits
The same service costs 3.2 times more in Alaska than in New York. 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· 37th of 51
$759
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.