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 $61.66 Median $75.86 Typical High $125.89 | Professional | None | $61.66 | $75.86 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $36.31 Typical High $63.10 | Professional | 52 · Reduced service | $30.90 | $36.31 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.45 Typical High $25.12 | Professional | 53 · Discontinued | $12.30 | $14.45 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $10.72 Typical High $19.05 | Professional | 55 · Aftercare only | $9.12 | $10.72 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $7.24 Typical High $12.59 | Professional | 56 · Pre-op care only | $6.17 | $7.24 | $12.59 |
CareFirst Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $53.70 | Professional | None | $48.98 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $70.79 Typical High $85.11 | Professional | None | $42.66 | $70.79 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $158.49 | Professional | None | $91.20 | $114.82 | $158.49 |
United Setting Professional Modifier None Typical Low $41.69 Median $58.88 Typical High $89.13 | Professional | None | $41.69 | $58.88 | $89.13 |
Wellpoint Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $107.15 | Professional | None | $75.86 | $75.86 | $107.15 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Maryland sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 48th of 51
$61.66
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.