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 $54.95 Median $74.13 Typical High $134.90 | Professional | None | $54.95 | $74.13 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $33.88 Typical High $67.61 | Professional | 52 · Reduced service | $27.54 | $33.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $13.49 Typical High $26.92 | Professional | 53 · Discontinued | $10.96 | $13.49 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $10.23 Typical High $19.95 | Professional | 55 · Aftercare only | $8.32 | $10.23 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.76 Typical High $13.49 | Professional | 56 · Pre-op care only | $5.50 | $6.76 | $13.49 |
CareFirst Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | None | $42.66 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $75.86 Typical High $87.10 | Professional | None | $39.81 | $75.86 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $154.88 | Professional | None | $100.00 | $112.20 | $154.88 |
United Setting Professional Modifier None Typical Low $37.15 Median $53.70 Typical High $93.33 | Professional | None | $37.15 | $53.70 | $93.33 |
Wellpoint Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $104.71 | Professional | None | $79.43 | $79.43 | $104.71 |
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 2.8 times more in Alaska than in Maryland. 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· 51st of 51
$54.95
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.