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 Professional Modifier None Typical Low $263.03 Median $501.19 Typical High $851.14 | Professional | None | $263.03 | $501.19 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $602.56 Typical High $1,230.27 | Professional | None | $316.23 | $602.56 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $549.54 Typical High $1,412.54 | Facility | None | $457.09 | $549.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $724.44 Typical High $1,230.27 | Professional | None | $354.81 | $724.44 | $1,230.27 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $707.95 | Facility | None | $338.84 | $524.81 | $707.95 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $371.54 Median $630.96 Typical High $1,096.48 | Professional | None | $371.54 | $630.96 | $1,096.48 |
Martin's Point Setting Professional Modifier None Typical Low $263.03 Median $501.19 Typical High $870.96 | Professional | None | $263.03 | $501.19 | $870.96 |
United Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $707.95 | Facility | None | $338.84 | $524.81 | $707.95 |
United Setting Professional Modifier None Typical Low $436.52 Median $630.96 Typical High $1,096.48 | Professional | None | $436.52 | $630.96 | $1,096.48 |
2 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 54 · Surgery only Typical Low $194.98 Median $239.88 Typical High $371.54 | Professional | 54 · Surgery only | $194.98 | $239.88 | $371.54 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $239.88 Typical High $371.54 | Professional | 54 · Surgery only | $194.98 | $239.88 | $371.54 |
Where Maine sits
The same service costs 3.1 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.
Maine· 28th of 51
$575
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.