How much rates vary
Facilitymedian $4,467 · 10th to 90th $525 to $17,378Professionalmedian $1,549 · 10th to 90th $1,148 to $2,399
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 $1,548.82 Median $4,466.84 Typical High $8,128.31 | Facility | None | $1,548.82 | $4,466.84 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $3,981.07 | Professional | None | $1,288.25 | $1,548.82 | $3,981.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $9,772.37 Typical High $27,542.29 | Facility | None | $4,897.79 | $9,772.37 | $27,542.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $3,019.95 | Professional | None | $1,348.96 | $1,621.81 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $10,964.78 | Facility | None | $562.34 | $912.01 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,230.27 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,230.27 | $2,238.72 |
Hometown Health Setting Professional Modifier None Typical Low $22.91 Median $1,513.56 Typical High $2,089.30 | Professional | None | $22.91 | $1,513.56 | $2,089.30 |
Hometown Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $1,819.70 | Professional | None | $19.95 | $19.95 | $1,819.70 |
Select Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $4,265.80 | Facility | None | $1,202.26 | $1,202.26 | $4,265.80 |
United Setting Facility Modifier None Typical Low $302.00 Median $794.33 Typical High $2,951.21 | Facility | None | $302.00 | $794.33 | $2,951.21 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,398.83 | Professional | None | $1,148.15 | $1,548.82 | $2,398.83 |
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 $776.25 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,174.90 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,148.15 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $234.42 Typical High $234.42 | Professional | 55 · Aftercare only | $229.09 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $154.88 |
Where Nevada 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.