How much rates vary
Facilitymedian $437 · 10th to 90th $112 to $3,890Professionalmedian $275 · 10th to 90th $148 to $631
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 $1,513.56 Median $1,548.82 Typical High $3,981.07 | Facility | None | $1,513.56 | $1,548.82 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $245.47 Typical High $302.00 | Professional | None | $147.91 | $245.47 | $302.00 |
BCBS Setting Professional Modifier None Typical Low $131.83 Median $275.42 Typical High $489.78 | Professional | None | $131.83 | $275.42 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $794.33 | Facility | None | $154.88 | $213.80 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $630.96 | Professional | None | $223.87 | $309.03 | $630.96 |
United Setting Facility Modifier None Typical Low $97.72 Median $316.23 Typical High $3,890.45 | Facility | None | $97.72 | $316.23 | $3,890.45 |
United Setting Professional Modifier None Typical Low $141.25 Median $263.03 Typical High $537.03 | Professional | None | $141.25 | $263.03 | $537.03 |
5 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 $74.13 Median $112.20 Typical High $151.36 | Professional | 52 · Reduced service | $74.13 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $44.67 Typical High $61.66 | Professional | 53 · Discontinued | $29.51 | $44.67 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $169.82 Typical High $229.09 | Professional | 54 · Surgery only | $109.65 | $169.82 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $33.88 Typical High $45.71 | Professional | 55 · Aftercare only | $22.39 | $33.88 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $22.39 Typical High $30.20 | Professional | 56 · Pre-op care only | $14.79 | $22.39 | $30.20 |
Where Rhode Island sits
The same service costs 6.9 times more in New York than in Alabama. 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
NY $2,939AL $425
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.