How much rates vary
Facilitymedian $2,884 · 10th to 90th $955 to $7,413Professionalmedian $676 · 10th to 90th $437 to $4,677
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 $1,071.52 Median $2,398.83 Typical High $7,585.78 | Facility | None | $1,071.52 | $2,398.83 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $724.44 | Professional | None | $416.87 | $512.86 | $724.44 |
Ambetter Setting Professional Modifier None Typical Low $269.15 Median $616.60 Typical High $616.60 | Professional | None | $269.15 | $616.60 | $616.60 |
BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $3,090.30 Typical High $8,317.64 | Facility | None | $1,122.02 | $3,090.30 | $8,317.64 |
BCBS Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $1,122.02 | Professional | None | $501.19 | $724.44 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $3,801.89 Typical High $7,943.28 | Facility | None | $524.81 | $3,801.89 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $562.34 Typical High $812.83 | Professional | None | $436.52 | $562.34 | $812.83 |
Lucent Health Setting Professional Modifier None Typical Low $4,073.80 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,073.80 | $4,677.35 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $5,128.61 | Facility | None | $1,000.00 | $2,570.40 | $5,128.61 |
United Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $1,000.00 | Professional | None | $389.05 | $537.03 | $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 $208.93 Median $223.87 Typical High $302.00 | Professional | 52 · Reduced service | $208.93 | $223.87 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $89.13 Typical High $120.23 | Professional | 53 · Discontinued | $83.18 | $89.13 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $331.13 Typical High $457.09 | Professional | 54 · Surgery only | $316.23 | $331.13 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $66.07 Typical High $91.20 | Professional | 55 · Aftercare only | $63.10 | $66.07 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $44.67 Typical High $60.26 | Professional | 56 · Pre-op care only | $41.69 | $44.67 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $309.03 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $295.12 | $309.03 | $426.58 |
Where Tennessee sits
The same service costs 7.0 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 $10,808MT $1,535
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.