How much rates vary
Facilitymedian $646 · 10th to 90th $117 to $977Professionalmedian $138 · 10th to 90th $87 to $204
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 $489.78 Median $933.25 Typical High $1,862.09 | Facility | None | $489.78 | $933.25 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $204.17 | Professional | None | $123.03 | $151.36 | $204.17 |
BCBS Alabama Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $102.33 Typical High $446.68 | Facility | None | $50.12 | $102.33 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $117.49 Typical High $151.36 | Professional | None | $104.71 | $117.49 | $151.36 |
United Setting Facility Modifier None Typical Low $100.00 Median $363.08 Typical High $1,380.38 | Facility | None | $100.00 | $363.08 | $1,380.38 |
United Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $165.96 | Professional | None | $74.13 | $97.72 | $165.96 |
7 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 $75.86 Median $75.86 Typical High $102.33 | Professional | 52 · Reduced service | $75.86 | $75.86 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $40.74 | Professional | 53 · Discontinued | $30.90 | $30.90 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $151.36 | Professional | 54 · Surgery only | $114.82 | $114.82 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $30.90 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $20.42 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $20.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $107.15 Typical High $141.25 | Professional | 78 · Unplanned return to OR | $107.15 | $107.15 | $141.25 |
BCBS Alabama Setting Professional Modifier 32 · Mandated service Typical Low $85.11 Median $117.49 Typical High $162.18 | Professional | 32 · Mandated service | $85.11 | $117.49 | $162.18 |
Where Alabama sits
The same service costs 13.1 times more in Hawaii than in Maryland. 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
HI $2,944MD $224
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.