How much rates vary
Facilitymedian $1,995 · 10th to 90th $174 to $8,511Professionalmedian $1,479 · 10th to 90th $1,259 to $9,550
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 $5,623.41 Typical High $8,912.51 | Facility | None | $977.24 | $5,623.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $1,548.82 | Professional | None | $1,318.26 | $1,479.11 | $1,548.82 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $10,232.93 | Facility | None | $1,659.59 | $3,981.07 | $10,232.93 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,511.89 | Professional | None | $1,258.93 | $1,258.93 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,089.30 Typical High $10,964.78 | Facility | None | $602.56 | $2,089.30 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,445.44 Typical High $2,290.87 | Professional | None | $1,412.54 | $1,445.44 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $1,096.48 Typical High $4,466.84 | Facility | None | $102.33 | $1,096.48 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $1,778.28 Typical High $9,549.93 | Professional | None | $1,318.26 | $1,778.28 | $9,549.93 |
United Setting Facility Modifier None Typical Low $104.71 Median $1,148.15 Typical High $5,128.61 | Facility | None | $104.71 | $1,148.15 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $2,511.89 | Professional | None | $1,288.25 | $1,445.44 | $2,511.89 |
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 $724.44 Median $724.44 Typical High $758.58 | Professional | 52 · Reduced service | $724.44 | $724.44 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | 53 · Discontinued | $295.12 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $229.09 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $151.36 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $151.36 |
Where Arizona sits
The same service costs 25.6 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 $53,236MD $2,076
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.