How much rates vary
Facilitymedian $2,951 · 10th to 90th $468 to $5,495Professionalmedian $813 · 10th to 90th $741 to $1,820
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $1,548.82 | Professional | None | $741.31 | $776.25 | $1,548.82 |
CareFirst Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $954.99 | Professional | None | $741.31 | $812.83 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $3,090.30 Typical High $5,248.07 | Facility | None | $446.68 | $3,090.30 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $2,137.96 | Professional | None | $707.95 | $977.24 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $1,548.82 | Professional | None | $741.31 | $851.14 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,570.40 Typical High $5,754.40 | Facility | None | $1,288.25 | $2,570.40 | $5,754.40 |
United Setting Professional Modifier None Typical Low $457.09 Median $1,122.02 Typical High $2,089.30 | Professional | None | $457.09 | $1,122.02 | $2,089.30 |
Wellpoint Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,122.02 | Professional | None | $741.31 | $741.31 | $1,122.02 |
6 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 $371.54 Median $380.19 Typical High $389.05 | Professional | 52 · Reduced service | $371.54 | $380.19 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $151.36 Typical High $154.88 | Professional | 53 · Discontinued | $147.91 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $549.54 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $114.82 Typical High $117.49 | Professional | 55 · Aftercare only | $109.65 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $75.86 Typical High $77.62 | Professional | 56 · Pre-op care only | $74.13 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $512.86 | $537.03 | $537.03 |
Where Maryland sits
The same service costs 6.0 times more in Colorado than in Hawaii. 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 $12,924HI $2,150
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.