How much rates vary
Facilitymedian $224 · 10th to 90th $91 to $1,072Professionalmedian $389 · 10th to 90th $234 to $661
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 $245.47 Median $776.25 Typical High $1,995.26 | Facility | None | $245.47 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $575.44 Typical High $645.65 | Professional | None | $245.47 | $575.44 | $645.65 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
BCBS Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $295.12 | Facility | None | $50.12 | $138.04 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $416.87 Typical High $478.63 | Professional | None | $257.04 | $416.87 | $478.63 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $91.20 Median $316.23 Typical High $1,096.48 | Facility | None | $91.20 | $316.23 | $1,096.48 |
United Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $588.84 | Professional | None | $234.42 | $263.03 | $588.84 |
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 $123.03 Median $288.40 Typical High $323.59 | Professional | 52 · Reduced service | $123.03 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $114.82 Typical High $128.82 | Professional | 53 · Discontinued | $48.98 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $426.58 Typical High $478.63 | Professional | 54 · Surgery only | $181.97 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $85.11 Typical High $97.72 | Professional | 55 · Aftercare only | $36.31 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $57.54 Typical High $64.57 | Professional | 56 · Pre-op care only | $24.55 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $398.11 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $169.82 | $398.11 | $446.68 |
Where Mississippi sits
The same service costs 6.4 times more in Colorado 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
CO $2,602FL $408
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.