How much rates vary
Facilitymedian $4,266 · 10th to 90th $851 to $11,749Professionalmedian $776 · 10th to 90th $692 to $5,754
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 $5,011.87 Typical High $8,317.64 | Facility | None | $977.24 | $5,011.87 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $794.33 | Professional | None | $707.95 | $707.95 | $794.33 |
BCBS Setting Facility Modifier None Typical Low $776.25 Median $1,862.09 Typical High $4,897.79 | Facility | None | $776.25 | $1,862.09 | $4,897.79 |
BCBS Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,412.54 | Professional | None | $870.96 | $870.96 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $10,715.19 Typical High $20,892.96 | Facility | None | $851.14 | $10,715.19 | $20,892.96 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $1,174.90 | Professional | None | $660.69 | $741.31 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $4,466.84 Typical High $26,302.68 | Facility | None | $870.96 | $4,466.84 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $954.99 Typical High $5,754.40 | Professional | None | $691.83 | $954.99 | $5,754.40 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $6,309.57 Typical High $10,000.00 | Facility | None | $1,096.48 | $6,309.57 | $10,000.00 |
United Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $1,148.15 | Professional | None | $676.08 | $741.31 | $1,148.15 |
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 $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $501.19 |
Where Arizona sits
The same service costs 10.1 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 $25,040MT $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.