How much rates vary
Facilitymedian $871 · 10th to 90th $389 to $2,570Professionalmedian $1,288 · 10th to 90th $759 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 $776.25 Median $1,047.13 Typical High $1,995.26 | Facility | None | $776.25 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,737.80 Typical High $3,630.78 | Professional | None | $794.33 | $1,737.80 | $3,630.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $1,258.93 Typical High $1,380.38 | Professional | None | $562.34 | $1,258.93 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $323.59 Median $691.83 Typical High $3,090.30 | Facility | None | $323.59 | $691.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $2,137.96 | Professional | None | $758.58 | $912.01 | $2,137.96 |
6 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 $398.11 Median $870.96 Typical High $1,819.70 | Professional | 52 · Reduced service | $398.11 | $870.96 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $346.74 Typical High $724.44 | Professional | 53 · Discontinued | $158.49 | $346.74 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $1,318.26 Typical High $2,754.23 | Professional | 54 · Surgery only | $588.84 | $1,318.26 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $263.03 Typical High $549.54 | Professional | 55 · Aftercare only | $117.49 | $263.03 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $173.78 Typical High $363.08 | Professional | 56 · Pre-op care only | $79.43 | $173.78 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $1,230.27 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $549.54 | $1,230.27 | $2,570.40 |
Where Mississippi sits
The same service costs 18.7 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 $26,826MD $1,433
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.