How much rates vary
Facilitymedian $3,311 · 10th to 90th $955 to $15,849Professionalmedian $1,202 · 10th to 90th $692 to $1,778
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 $758.58 Median $1,047.13 Typical High $1,995.26 | Facility | None | $758.58 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $1,513.56 Typical High $1,698.24 | Professional | None | $691.83 | $1,513.56 | $1,698.24 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $891.25 Typical High $933.25 | Professional | None | $128.82 | $891.25 | $933.25 |
BCBS Setting Facility Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Facility | None | $11,481.54 | $11,481.54 | $11,481.54 |
BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $8,912.51 Typical High $14,125.38 | Facility | None | $794.33 | $8,912.51 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $1,288.25 Typical High $1,348.96 | Professional | None | $575.44 | $1,288.25 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,311.31 Typical High $16,218.10 | Facility | None | $1,380.38 | $3,311.31 | $16,218.10 |
United Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $1,819.70 | Professional | None | $707.95 | $812.83 | $1,819.70 |
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 $354.81 Median $758.58 Typical High $851.14 | Professional | 52 · Reduced service | $354.81 | $758.58 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $302.00 Typical High $338.84 | Professional | 53 · Discontinued | $141.25 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $1,122.02 Typical High $1,288.25 | Professional | 54 · Surgery only | $524.81 | $1,122.02 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $223.87 Typical High $257.04 | Professional | 55 · Aftercare only | $104.71 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $151.36 Typical High $169.82 | Professional | 56 · Pre-op care only | $70.79 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $1,047.13 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $489.78 | $1,047.13 | $1,202.26 |
Where Mississippi sits
The same service costs 9.3 times more in Alaska 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
AK $23,115MT $2,489
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.