How much rates vary
Facilitymedian $295 · 10th to 90th $93 to $2,344Professionalmedian $117 · 10th to 90th $85 to $708
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 $3,715.35 Typical High $5,623.41 | Facility | None | $977.24 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $117.49 | Professional | None | $87.10 | $109.65 | $117.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $85.11 Median $199.53 Typical High $524.81 | Facility | None | $85.11 | $199.53 | $524.81 |
BCBS Arizona Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $245.47 | Professional | None | $120.23 | $177.83 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $112.20 Typical High $204.17 | Facility | None | $66.07 | $112.20 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $104.71 Typical High $165.96 | Professional | None | $77.62 | $104.71 | $165.96 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $316.23 Typical High $1,584.89 | Facility | None | $107.15 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $707.95 Typical High $954.99 | Professional | None | $97.72 | $707.95 | $954.99 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $147.91 | Professional | None | $75.86 | $97.72 | $147.91 |
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 $43.65 Median $48.98 Typical High $58.88 | Professional | 52 · Reduced service | $43.65 | $48.98 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.50 Typical High $23.44 | Professional | 53 · Discontinued | $17.38 | $19.50 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $74.13 Typical High $87.10 | Professional | 54 · Surgery only | $64.57 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $14.79 Typical High $17.38 | Professional | 55 · Aftercare only | $12.88 | $14.79 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $9.77 Typical High $11.75 | Professional | 56 · Pre-op care only | $8.71 | $9.77 | $11.75 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $60.26 Median $69.18 Typical High $81.28 | Professional | 78 · Unplanned return to OR | $60.26 | $69.18 | $81.28 |
Where Arizona 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.