How much rates vary
Facilitymedian $11,482 · 10th to 90th $891 to $19,498Professionalmedian $457 · 10th to 90th $339 to $741
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 $1,148.15 Median $3,388.44 Typical High $8,709.64 | Facility | None | $1,148.15 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $6,025.60 | Professional | None | $354.81 | $354.81 | $6,025.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,549.93 Median $13,182.57 Typical High $20,892.96 | Facility | None | $9,549.93 | $13,182.57 | $20,892.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $446.68 Typical High $707.95 | Professional | None | $338.84 | $446.68 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $2,691.53 | Facility | None | $630.96 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $478.63 Typical High $630.96 | Professional | None | $371.54 | $478.63 | $630.96 |
Denver HMP Setting Facility Modifier None Typical Low $354.81 Median $389.05 Typical High $707.95 | Facility | None | $354.81 | $389.05 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $398.11 Typical High $630.96 | Professional | None | $269.15 | $398.11 | $630.96 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $562.34 Typical High $588.84 | Facility | None | $281.84 | $562.34 | $588.84 |
Select Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $281.84 | Professional | None | $194.98 | $194.98 | $281.84 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,380.38 Typical High $7,762.47 | Facility | None | $645.65 | $1,380.38 | $7,762.47 |
United Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $812.83 | Professional | None | $407.38 | $524.81 | $812.83 |
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 $169.82 Median $177.83 Typical High $239.88 | Professional | 52 · Reduced service | $169.82 | $177.83 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $70.79 Typical High $95.50 | Professional | 53 · Discontinued | $69.18 | $70.79 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $263.03 Typical High $363.08 | Professional | 54 · Surgery only | $257.04 | $263.03 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $52.48 Typical High $72.44 | Professional | 55 · Aftercare only | $51.29 | $52.48 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $35.48 Typical High $47.86 | Professional | 56 · Pre-op care only | $34.67 | $35.48 | $47.86 |
Where Colorado sits
The same service costs 30.0 times more in Maine than in Delaware. 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 $26,760DE $893
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.