How much rates vary
Facilitymedian $263 · 10th to 90th $129 to $5,888Professionalmedian $631 · 10th to 90th $347 to $1,000
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 $398.11 Median $7,585.78 Typical High $12,589.25 | Facility | None | $398.11 | $7,585.78 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $616.60 | Professional | None | $363.08 | $398.11 | $616.60 |
BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $9,120.11 | Facility | None | $3,388.44 | $4,570.88 | $9,120.11 |
BCBS Setting Professional Modifier None Typical Low $316.23 Median $537.03 Typical High $724.44 | Professional | None | $316.23 | $537.03 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $251.19 | Facility | None | $162.18 | $213.80 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $1,047.13 | Professional | None | $660.69 | $812.83 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $269.15 Typical High $1,698.24 | Facility | None | $102.33 | $269.15 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $977.24 Typical High $3,235.94 | Professional | None | $467.74 | $977.24 | $3,235.94 |
Midlands Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $1,148.15 | Professional | None | $776.25 | $851.14 | $1,148.15 |
Midlands Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $257.04 | Facility | None | $162.18 | $213.80 | $257.04 |
Midlands Setting Professional Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,318.26 | Professional | None | $676.08 | $1,096.48 | $1,318.26 |
United Setting Facility Modifier None Typical Low $104.71 Median $251.19 Typical High $1,230.27 | Facility | None | $104.71 | $251.19 | $1,230.27 |
United Setting Professional Modifier None Typical Low $446.68 Median $758.58 Typical High $1,000.00 | Professional | None | $446.68 | $758.58 | $1,000.00 |
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 $181.97 Median $199.53 Typical High $309.03 | Professional | 52 · Reduced service | $181.97 | $199.53 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $79.43 Typical High $123.03 | Professional | 53 · Discontinued | $72.44 | $79.43 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $302.00 Typical High $457.09 | Professional | 54 · Surgery only | $269.15 | $302.00 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $60.26 Typical High $91.20 | Professional | 55 · Aftercare only | $54.95 | $60.26 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $39.81 Typical High $61.66 | Professional | 56 · Pre-op care only | $36.31 | $39.81 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $281.84 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $251.19 | $281.84 | $426.58 |
Where Nebraska sits
The same service costs 6.0 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 $2,942FL $490
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.