How much rates vary
Facilitymedian $120 · 10th to 90th $50 to $617Professionalmedian $91 · 10th to 90th $50 to $162
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 Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $229.09 | Facility | None | $117.49 | $117.49 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $114.82 Typical High $154.88 | Professional | None | $57.54 | $114.82 | $154.88 |
CareFirst Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $54.95 | Professional | None | $46.77 | $52.48 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $354.81 | Facility | None | $50.12 | $50.12 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $97.72 Typical High $154.88 | Professional | None | $54.95 | $97.72 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $223.87 | Professional | None | $134.90 | $165.96 | $223.87 |
United Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $616.60 | Facility | None | $64.57 | $144.54 | $616.60 |
United Setting Professional Modifier None Typical Low $54.95 Median $107.15 Typical High $204.17 | Professional | None | $54.95 | $107.15 | $204.17 |
Wellpoint Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $229.09 | Professional | None | $112.20 | $112.20 | $229.09 |
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 $28.84 Median $29.51 Typical High $58.88 | Professional | 52 · Reduced service | $28.84 | $29.51 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $23.44 | Professional | 53 · Discontinued | $11.75 | $11.75 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $43.65 Typical High $89.13 | Professional | 54 · Surgery only | $43.65 | $43.65 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $17.78 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.89 Typical High $11.75 | Professional | 56 · Pre-op care only | $5.75 | $5.89 | $11.75 |
Where Maryland sits
The same service costs 12.9 times more in Colorado than in Maine. 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.
Physician feeFacility fee
CO $2,408ME $187
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.