How much rates vary
Facilitymedian $955 · 10th to 90th $389 to $2,818Professionalmedian $2,188 · 10th to 90th $1,288 to $6,310
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 $776.25 Median $1,318.26 Typical High $3,801.89 | Facility | None | $776.25 | $1,318.26 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $3,019.95 Typical High $6,309.57 | Professional | None | $1,348.96 | $3,019.95 | $6,309.57 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $2,137.96 Typical High $2,398.83 | Professional | None | $977.24 | $2,137.96 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $323.59 Median $691.83 Typical High $3,090.30 | Facility | None | $323.59 | $691.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $3,630.78 | Professional | None | $1,288.25 | $1,584.89 | $3,630.78 |
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 $676.08 Median $1,513.56 Typical High $3,162.28 | Professional | 52 · Reduced service | $676.08 | $1,513.56 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $602.56 Typical High $1,258.93 | Professional | 53 · Discontinued | $275.42 | $602.56 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $2,238.72 Typical High $4,786.30 | Professional | 54 · Surgery only | $1,023.29 | $2,238.72 | $4,786.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $457.09 Typical High $954.99 | Professional | 55 · Aftercare only | $204.17 | $457.09 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $302.00 Typical High $630.96 | Professional | 56 · Pre-op care only | $134.90 | $302.00 | $630.96 |
Where Mississippi 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.