How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $41.69 Median $45.71 Typical High $56.23 | Facility | None | $41.69 | $45.71 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $41.69 Typical High $43.65 | Professional | None (both parts) | $33.88 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $20.42 Typical High $21.38 | Professional | 52 · Reduced service | $16.98 | $20.42 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $8.13 Typical High $8.71 | Professional | 53 · Discontinued | $6.76 | $8.13 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $6.17 Typical High $6.46 | Professional | 55 · Aftercare only | $5.01 | $6.17 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $4.07 Typical High $4.37 | Professional | 56 · Pre-op care only | $3.39 | $4.07 | $4.37 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $37.15 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $37.15 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $57.54 | Professional | None (both parts) | $33.11 | $39.81 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $81.28 | Professional | None | $40.74 | $47.86 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $33.88 Typical High $64.57 | Professional | None (both parts) | $29.51 | $33.88 | $64.57 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $44.67 Median $58.88 Typical High $69.18 | Professional | None (both parts) | $44.67 | $58.88 | $69.18 |
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 |
|---|---|---|---|---|---|
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Where Maryland sits
The same service costs 2.9 times more in Alaska than in Kentucky. 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· 42nd of 51
$38.02
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.