How much rates vary
Facilitymedian $2,138 · 10th to 90th $398 to $10,471Professionalmedian $1,479 · 10th to 90th $1,288 to $3,631
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 $4,466.84 Median $8,912.51 Typical High $13,803.84 | Facility | None | $4,466.84 | $8,912.51 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,819.70 | Professional | None | $1,479.11 | $1,479.11 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $2,137.96 Typical High $10,964.78 | Facility | None | $1,023.29 | $2,137.96 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $3,548.13 | Professional | None | $1,288.25 | $1,445.44 | $3,548.13 |
Emblem Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,949.84 Typical High $1,995.26 | Professional | None | $1,380.38 | $1,949.84 | $1,995.26 |
Horizon BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $3,890.45 | Professional | None | $1,288.25 | $1,513.56 | $3,890.45 |
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 $1,230.27 Median $1,548.82 Typical High $4,073.80 | Professional | None | $1,230.27 | $1,548.82 | $4,073.80 |
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 $776.25 | Professional | 52 · Reduced service | $724.44 | $724.44 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | 53 · Discontinued | $295.12 | $295.12 | $309.03 |
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 $154.88 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $154.88 |
Where New Jersey 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.