How much rates vary
Facilitymedian $1,622 · 10th to 90th $525 to $2,692Professionalmedian $437 · 10th to 90th $347 to $776
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 $707.95 Median $707.95 Typical High $1,071.52 | Facility | None | $707.95 | $707.95 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $524.81 Typical High $575.44 | Professional | None | $354.81 | $524.81 | $575.44 |
CareFirst Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $398.11 | Professional | None | $363.08 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,698.24 Typical High $2,691.53 | Facility | None | $512.86 | $1,698.24 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $851.14 | Professional | None | $346.74 | $512.86 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $1,047.13 | Professional | None | $602.56 | $691.83 | $1,047.13 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $2,570.40 | Facility | None | $758.58 | $1,380.38 | $2,570.40 |
United Setting Professional Modifier None Typical Low $288.40 Median $467.74 Typical High $1,023.29 | Professional | None | $288.40 | $467.74 | $1,023.29 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $933.25 | Professional | None | $501.19 | $501.19 | $933.25 |
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 $177.83 Median $223.87 Typical High $288.40 | Professional | 52 · Reduced service | $177.83 | $223.87 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $91.20 Typical High $114.82 | Professional | 53 · Discontinued | $70.79 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $338.84 Typical High $426.58 | Professional | 54 · Surgery only | $263.03 | $338.84 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $67.61 Typical High $85.11 | Professional | 55 · Aftercare only | $52.48 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $44.67 Typical High $57.54 | Professional | 56 · Pre-op care only | $35.48 | $44.67 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $316.23 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $245.47 | $316.23 | $398.11 |
Where Maryland sits
The same service costs 4.7 times more in Colorado 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
CO $6,438MT $1,383
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.