How much rates vary
Facilitymedian $355 · 10th to 90th $138 to $871Professionalmedian $182 · 10th to 90th $102 to $295
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 $91.20 Median $1,047.13 Typical High $7,762.47 | Facility | None | $91.20 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $204.17 | Professional | None | $91.20 | $117.49 | $204.17 |
BCBS New Mexico Setting Facility Modifier None Typical Low $138.04 Median $489.78 Typical High $758.58 | Facility | None | $138.04 | $489.78 | $758.58 |
BCBS New Mexico Setting Professional Modifier None Typical Low $89.13 Median $147.91 Typical High $263.03 | Professional | None | $89.13 | $147.91 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $154.88 Typical High $602.56 | Facility | None | $128.82 | $154.88 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $288.40 | Professional | None | $112.20 | $177.83 | $288.40 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $93.33 Typical High $245.47 | Professional | None | $29.51 | $93.33 | $245.47 |
Providence Setting Facility Modifier None Typical Low $131.83 Median $186.21 Typical High $537.03 | Facility | None | $131.83 | $186.21 | $537.03 |
Providence Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $295.12 | Professional | None | $128.82 | $181.97 | $295.12 |
United Setting Facility Modifier None Typical Low $199.53 Median $275.42 Typical High $1,318.26 | Facility | None | $199.53 | $275.42 | $1,318.26 |
United Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $316.23 | Professional | None | $144.54 | $223.87 | $316.23 |
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 $44.67 Median $58.88 Typical High $102.33 | Professional | 52 · Reduced service | $44.67 | $58.88 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $23.44 Typical High $40.74 | Professional | 53 · Discontinued | $18.20 | $23.44 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $87.10 Typical High $151.36 | Professional | 54 · Surgery only | $67.61 | $87.10 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $17.38 Typical High $30.90 | Professional | 55 · Aftercare only | $13.49 | $17.38 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $11.75 Typical High $20.42 | Professional | 56 · Pre-op care only | $9.12 | $11.75 | $20.42 |
Where New Mexico sits
The same service costs 11.6 times more in Hawaii 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.
Physician feeFacility fee
HI $3,027MD $261
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.