How much rates vary
Facilitymedian $2,042 · 10th to 90th $891 to $5,495Professionalmedian $661 · 10th to 90th $427 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 $1,445.44 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,445.44 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $870.96 | Professional | None | $407.38 | $630.96 | $870.96 |
BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $2,041.74 Typical High $2,137.96 | Facility | None | $1,412.54 | $2,041.74 | $2,137.96 |
BCBS Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $758.58 | Professional | None | $537.03 | $537.03 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,187.76 Typical High $2,290.87 | Facility | None | $602.56 | $2,187.76 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $660.69 Typical High $851.14 | Professional | None | $426.58 | $660.69 | $851.14 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,412.54 Typical High $26,302.68 | Facility | None | $645.65 | $1,412.54 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $3,090.30 Typical High $4,265.80 | Professional | None | $588.84 | $3,090.30 | $4,265.80 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $870.96 | Professional | None | $416.87 | $575.44 | $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 $204.17 Median $316.23 Typical High $436.52 | Professional | 52 · Reduced service | $204.17 | $316.23 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $128.82 Typical High $173.78 | Professional | 53 · Discontinued | $81.28 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $478.63 Typical High $645.65 | Professional | 54 · Surgery only | $309.03 | $478.63 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $95.50 Typical High $128.82 | Professional | 55 · Aftercare only | $61.66 | $95.50 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $63.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $40.74 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $446.68 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $288.40 | $446.68 | $602.56 |
Where Kansas 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.