How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,230 to $11,220Professionalmedian $437 · 10th to 90th $95 to $646
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 $549.54 Median $12,022.64 Typical High $21,877.62 | Facility | None | $549.54 | $12,022.64 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $741.31 | Professional | None | $467.74 | $549.54 | $741.31 |
Ambetter Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $10,715.19 | Facility | None | $1,659.59 | $3,981.07 | $10,715.19 |
BCBS Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $588.84 | Professional | None | $389.05 | $446.68 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,862.09 Typical High $2,951.21 | Facility | None | $630.96 | $1,862.09 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $524.81 Typical High $831.76 | Professional | None | $512.86 | $524.81 | $831.76 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $1,288.25 Typical High $2,137.96 | Facility | None | $524.81 | $1,288.25 | $2,137.96 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $676.08 | Professional | None | $549.54 | $588.84 | $676.08 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $363.08 Typical High $602.56 | Professional | None | $79.43 | $363.08 | $602.56 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $794.33 | Professional | None | $380.19 | $489.78 | $794.33 |
7 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 $234.42 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $234.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $93.33 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $346.74 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $69.18 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | 56 · Pre-op care only | $46.77 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $380.19 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $323.59 | $380.19 | $380.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $275.42 Median $338.84 Typical High $426.58 | Professional | 51 · Multiple procedures | $275.42 | $338.84 | $426.58 |
Where South Carolina sits
The same service costs 5.4 times more in Alabama than in Montana. 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
AL $8,312MT $1,553
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.