How much rates vary
Facilitymedian $4,169 · 10th to 90th $537 to $7,413Professionalmedian $871 · 10th to 90th $776 to $1,349
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 $870.96 Median $1,000.00 Typical High $1,737.80 | Facility | None | $870.96 | $1,000.00 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $1,318.26 | Professional | None | $870.96 | $912.01 | $1,318.26 |
CareFirst Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $977.24 | Professional | None | $870.96 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $4,786.30 Typical High $7,943.28 | Facility | None | $512.86 | $4,786.30 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $870.96 Typical High $1,584.89 | Professional | None | $776.25 | $870.96 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,584.89 | Professional | None | $870.96 | $1,000.00 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $3,801.89 Typical High $7,079.46 | Facility | None | $1,621.81 | $3,801.89 | $7,079.46 |
United Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $1,862.09 | Professional | None | $660.69 | $831.76 | $1,862.09 |
Wellpoint Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,348.96 | Professional | None | $812.83 | $812.83 | $1,348.96 |
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 $436.52 Median $436.52 Typical High $457.09 | Professional | 52 · Reduced service | $436.52 | $436.52 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $186.21 | Professional | 53 · Discontinued | $173.78 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $691.83 | Professional | 54 · Surgery only | $660.69 | $660.69 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $138.04 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $616.60 | $616.60 | $645.65 |
Where Maryland sits
The same service costs 5.5 times more in Colorado than in Hawaii. 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 $14,085HI $2,567
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.