How much rates vary
Facilitymedian $1,622 · 10th to 90th $513 to $4,169Professionalmedian $2,291 · 10th to 90th $1,445 to $10,471
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 $1,819.70 Median $4,168.69 Typical High $7,585.78 | Facility | None | $1,819.70 | $4,168.69 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $3,467.37 | Professional | None | $1,445.44 | $1,819.70 | $3,467.37 |
BCBS Setting Facility Modifier None Typical Low $501.19 Median $1,584.89 Typical High $3,981.07 | Facility | None | $501.19 | $1,584.89 | $3,981.07 |
BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $3,548.13 | Professional | None | $1,621.81 | $2,137.96 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $2,691.53 | Facility | None | $512.86 | $676.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $3,090.30 | Professional | None | $1,348.96 | $2,041.74 | $3,090.30 |
Lucent Health Setting Professional Modifier None Typical Low $10,471.29 Median $12,022.64 Typical High $12,022.64 | Professional | None | $10,471.29 | $12,022.64 | $12,022.64 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $3,981.07 | Facility | None | $501.19 | $1,778.28 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $3,548.13 | Professional | None | $1,445.44 | $2,290.87 | $3,548.13 |
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 $776.25 Typical High $1,202.26 | Professional | 52 · Reduced service | $724.44 | $776.25 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $309.03 Typical High $489.78 | Professional | 53 · Discontinued | $288.40 | $309.03 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,148.15 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,096.48 | $1,148.15 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $229.09 Typical High $363.08 | Professional | 55 · Aftercare only | $218.78 | $229.09 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $154.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $144.54 | $154.88 | $239.88 |
Where Tennessee sits
The same service costs 24.1 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 $53,525MD $2,222
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.