How much rates vary
Facilitymedian $1,995 · 10th to 90th $871 to $3,890Professionalmedian $741 · 10th to 90th $562 to $1,413
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 (both parts) Typical Low $616.60 Median $645.65 Typical High $1,621.81 | Professional | None (both parts) | $616.60 | $645.65 | $1,621.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $208.93 Typical High $524.81 | Professional | 26 · Professional part | $204.17 | $208.93 | $524.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $436.52 Typical High $851.14 | Professional | TC · Technical part | $407.38 | $436.52 | $851.14 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $645.65 Median $741.31 Typical High $851.14 | Professional | None (both parts) | $645.65 | $741.31 | $851.14 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $218.78 | $245.47 | $245.47 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $446.68 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $50,118.72 | Facility | None | $501.19 | $501.19 | $50,118.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $691.83 Typical High $1,949.84 | Professional | None (both parts) | $575.44 | $691.83 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $257.04 Typical High $691.83 | Professional | 26 · Professional part | $213.80 | $257.04 | $691.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $457.09 Typical High $1,258.93 | Professional | TC · Technical part | $371.54 | $457.09 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $794.33 Typical High $1,479.11 | Professional | None | $691.83 | $794.33 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $263.03 Typical High $446.68 | Professional | 26 · Professional part | $229.09 | $263.03 | $446.68 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $537.03 Typical High $1,000.00 | Professional | TC · Technical part | $457.09 | $537.03 | $1,000.00 |
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 (both parts) Typical Low $575.44 Median $891.25 Typical High $1,584.89 | Professional | None (both parts) | $575.44 | $891.25 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $281.84 Typical High $512.86 | Professional | 26 · Professional part | $199.53 | $281.84 | $512.86 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $616.60 Typical High $1,071.52 | Professional | TC · Technical part | $398.11 | $616.60 | $1,071.52 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $1,071.52 | Professional | None (both parts) | $562.34 | $562.34 | $1,071.52 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $346.74 | Professional | 26 · Professional part | $199.53 | $199.53 | $346.74 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $741.31 | Professional | TC · Technical part | $363.08 | $363.08 | $741.31 |
5 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 $302.00 Median $323.59 Typical High $346.74 | Professional | 52 · Reduced service | $302.00 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $128.82 Typical High $138.04 | Professional | 53 · Discontinued | $123.03 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $489.78 Typical High $512.86 | Professional | 54 · Surgery only | $457.09 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $97.72 Typical High $102.33 | Professional | 55 · Aftercare only | $91.20 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $64.57 Typical High $69.18 | Professional | 56 · Pre-op care only | $61.66 | $64.57 | $69.18 |
Where Maryland sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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· 40th of 51
$794
WI $2,630TX $603
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.