How much rates vary
Facilitymedian $832 · 10th to 90th $302 to $7,244Professionalmedian $490 · 10th to 90th $324 to $912
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 $302.00 Median $302.00 Typical High $7,943.28 | Facility | None | $302.00 | $302.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $537.03 | Professional | None | $302.00 | $302.00 | $537.03 |
BCBS North Carolina Setting Professional Modifier None Typical Low $436.52 Median $562.34 Typical High $954.99 | Professional | None | $436.52 | $562.34 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $29,512.09 | Facility | None | $478.63 | $851.14 | $29,512.09 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $912.01 | Professional | None | $380.19 | $446.68 | $912.01 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $309.03 Typical High $478.63 | Facility | None | $302.00 | $309.03 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $426.58 Typical High $489.78 | Professional | None | $288.40 | $426.58 | $489.78 |
United Setting Facility Modifier None Typical Low $338.84 Median $851.14 Typical High $5,011.87 | Facility | None | $338.84 | $851.14 | $5,011.87 |
United Setting Professional Modifier None Typical Low $309.03 Median $489.78 Typical High $812.83 | Professional | None | $309.03 | $489.78 | $812.83 |
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 $151.36 Median $151.36 Typical High $194.98 | Professional | 52 · Reduced service | $151.36 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $77.62 | Professional | 53 · Discontinued | $60.26 | $60.26 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $223.87 Typical High $288.40 | Professional | 54 · Surgery only | $223.87 | $223.87 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $57.54 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $38.90 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $38.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $141.25 Median $213.80 Typical High $436.52 | Professional | 51 · Multiple procedures | $141.25 | $213.80 | $436.52 |
Where North Carolina sits
The same service costs 6.1 times more in Alaska 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
AK $5,496MD $901
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.