How much rates vary
Facilitymedian $398 · 10th to 90th $162 to $1,047Professionalmedian $603 · 10th to 90th $355 to $832
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 $467.74 Median $1,047.13 Typical High $7,762.47 | Facility | None | $467.74 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $602.56 Typical High $645.65 | Professional | None | $446.68 | $602.56 | $645.65 |
BCBS New Mexico Setting Facility Modifier None Typical Low $162.18 Median $398.11 Typical High $851.14 | Facility | None | $162.18 | $398.11 | $851.14 |
BCBS New Mexico Setting Professional Modifier None Typical Low $263.03 Median $562.34 Typical High $831.76 | Professional | None | $263.03 | $562.34 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $1,202.26 | Facility | None | $158.49 | $190.55 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $812.83 | Professional | None | $457.09 | $602.56 | $812.83 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $436.52 Typical High $724.44 | Professional | None | $33.11 | $436.52 | $724.44 |
Providence Setting Facility Modifier None Typical Low $158.49 Median $467.74 Typical High $1,288.25 | Facility | None | $158.49 | $467.74 | $1,288.25 |
Providence Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $891.25 | Professional | None | $457.09 | $645.65 | $891.25 |
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 $416.87 Median $645.65 Typical High $891.25 | Professional | None | $416.87 | $645.65 | $891.25 |
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 $229.09 Median $295.12 Typical High $323.59 | Professional | 52 · Reduced service | $229.09 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $120.23 Typical High $128.82 | Professional | 53 · Discontinued | $93.33 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $446.68 Typical High $478.63 | Professional | 54 · Surgery only | $346.74 | $446.68 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $89.13 Typical High $95.50 | Professional | 55 · Aftercare only | $69.18 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $60.26 Typical High $64.57 | Professional | 56 · Pre-op care only | $45.71 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $416.87 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $323.59 | $416.87 | $446.68 |
Where New Mexico sits
The same service costs 4.7 times more in New York than in Florida. 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
NY $3,038FL $649
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.