How much rates vary
Facilitymedian $2,042 · 10th to 90th $631 to $5,623Professionalmedian $513 · 10th to 90th $372 to $3,090
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 $977.24 Median $4,265.80 Typical High $7,762.47 | Facility | None | $977.24 | $4,265.80 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $575.44 | Professional | None | $371.54 | $501.19 | $575.44 |
BCBS Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $3,981.07 | Facility | None | $630.96 | $1,513.56 | $3,981.07 |
BCBS Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $933.25 | Professional | None | $467.74 | $691.83 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,905.46 Typical High $3,388.44 | Facility | None | $758.58 | $1,905.46 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $741.31 | Professional | None | $346.74 | $478.63 | $741.31 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $1,621.81 Typical High $8,912.51 | Facility | None | $501.19 | $1,621.81 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $3,090.30 Typical High $4,265.80 | Professional | None | $489.78 | $3,090.30 | $4,265.80 |
United Setting Facility Modifier None Typical Low $794.33 Median $2,089.30 Typical High $5,623.41 | Facility | None | $794.33 | $2,089.30 | $5,623.41 |
United Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $707.95 | Professional | None | $338.84 | $467.74 | $707.95 |
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 $186.21 Median $234.42 Typical High $251.19 | Professional | 52 · Reduced service | $186.21 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $93.33 Typical High $102.33 | Professional | 53 · Discontinued | $74.13 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $346.74 Typical High $380.19 | Professional | 54 · Surgery only | $275.42 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $70.79 Typical High $75.86 | Professional | 55 · Aftercare only | $56.23 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $46.77 Typical High $50.12 | Professional | 56 · Pre-op care only | $37.15 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $323.59 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $257.04 | $323.59 | $354.81 |
Where Arizona sits
The same service costs 5.8 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 $8,423MT $1,458
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.