How much rates vary
Facilitymedian $1,820 · 10th to 90th $380 to $8,511Professionalmedian $1,148 · 10th to 90th $1,000 to $2,692
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 $4,365.16 Median $6,918.31 Typical High $12,882.50 | Facility | None | $4,365.16 | $6,918.31 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,905.46 | Professional | None | $1,096.48 | $1,096.48 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $2,137.96 Typical High $2,818.38 | Facility | None | $1,023.29 | $2,137.96 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $2,754.23 | Professional | None | $1,000.00 | $1,174.90 | $2,754.23 |
Emblem Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $1,584.89 | Professional | None | $1,096.48 | $1,548.82 | $1,584.89 |
Horizon BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $2,951.21 | Professional | None | $1,000.00 | $1,148.15 | $2,951.21 |
United Setting Facility Modifier None Typical Low $331.13 Median $1,479.11 Typical High $5,495.41 | Facility | None | $331.13 | $1,479.11 | $5,495.41 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,230.27 Typical High $3,162.28 | Professional | None | $954.99 | $1,230.27 | $3,162.28 |
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 $549.54 Median $549.54 Typical High $588.84 | Professional | 52 · Reduced service | $549.54 | $549.54 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | 53 · Discontinued | $218.78 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $891.25 | Professional | 54 · Surgery only | $831.76 | $831.76 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $177.83 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $120.23 |
Where New Jersey sits
The same service costs 57.9 times more in Maine 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
ME $103,808MD $1,793
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.