How much rates vary
Facilitymedian $1,023 · 10th to 90th $151 to $5,623Professionalmedian $479 · 10th to 90th $372 to $708
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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $524.81 | Professional | None | $389.05 | $524.81 | $524.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $2,041.74 | Facility | None | $380.19 | $676.08 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $588.84 | Professional | None | $354.81 | $457.09 | $588.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $794.33 Typical High $4,466.84 | Facility | None | $54.95 | $794.33 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $2,238.72 | Professional | None | $371.54 | $512.86 | $2,238.72 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
United Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $707.95 | Professional | None | $346.74 | $512.86 | $707.95 |
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 $194.98 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $194.98 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $79.43 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $295.12 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $58.88 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $39.81 | $52.48 | $52.48 |
Where Kansas 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.