How much rates vary
Facilitymedian $1,698 · 10th to 90th $708 to $4,677Professionalmedian $977 · 10th to 90th $708 to $1,549
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 $758.58 Median $1,862.09 Typical High $5,623.41 | Facility | None | $758.58 | $1,862.09 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $851.14 | Professional | None | $707.95 | $776.25 | $851.14 |
BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $10,000.00 | Facility | None | $1,318.26 | $2,041.74 | $10,000.00 |
BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,548.82 | Professional | None | $977.24 | $1,318.26 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,584.89 Typical High $1,995.26 | Facility | None | $630.96 | $1,584.89 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,348.96 | Professional | None | $831.76 | $1,023.29 | $1,348.96 |
Hally Health Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $3,388.44 | Professional | None | $812.83 | $1,230.27 | $3,388.44 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $1,071.52 | Professional | None | $891.25 | $977.24 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $91.20 Typical High $1,000.00 | Professional | None | $33.11 | $91.20 | $1,000.00 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,513.56 Typical High $4,265.80 | Facility | None | $676.08 | $1,513.56 | $4,265.80 |
United Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,548.82 | Professional | None | $707.95 | $891.25 | $1,548.82 |
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 $354.81 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $354.81 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $141.25 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $537.03 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $107.15 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $70.79 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $549.54 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $501.19 | $549.54 | $549.54 |
Where Illinois sits
The same service costs 3.6 times more in Alaska than in Alabama. 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
AK $5,545AL $1,558
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.