How much rates vary
Facilitymedian $4,169 · 10th to 90th $661 to $7,413Professionalmedian $562 · 10th to 90th $479 to $871
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 $691.83 Median $758.58 Typical High $1,122.02 | Facility | None | $691.83 | $758.58 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $588.84 Typical High $707.95 | Professional | None | $562.34 | $588.84 | $707.95 |
CareFirst Setting Professional Modifier None Typical Low $562.34 Median $630.96 Typical High $630.96 | Professional | None | $562.34 | $630.96 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $4,677.35 Typical High $7,762.47 | Facility | None | $630.96 | $4,677.35 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $1,000.00 | Professional | None | $501.19 | $562.34 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $660.69 Typical High $1,000.00 | Professional | None | $575.44 | $660.69 | $1,000.00 |
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 $407.38 Median $524.81 Typical High $1,174.90 | Professional | None | $407.38 | $524.81 | $1,174.90 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $870.96 | Professional | None | $501.19 | $501.19 | $870.96 |
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 $281.84 Median $281.84 Typical High $295.12 | Professional | 52 · Reduced service | $281.84 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | 53 · Discontinued | $112.20 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $446.68 | Professional | 54 · Surgery only | $416.87 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $58.88 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $416.87 |
Where Maryland sits
The same service costs 7.5 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 $13,659MT $1,825
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.