How much rates vary
Facilitymedian $2,951 · 10th to 90th $525 to $7,413Professionalmedian $1,380 · 10th to 90th $1,072 to $2,138
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 $1,380.38 Median $3,981.07 Typical High $10,715.19 | Facility | None | $1,380.38 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,479.11 | Professional | None | $1,380.38 | $1,380.38 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $5,623.41 Typical High $7,943.28 | Facility | None | $2,951.21 | $5,623.41 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $2,691.53 | Professional | None | $1,202.26 | $1,445.44 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $6,309.57 | Facility | None | $562.34 | $912.01 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $2,041.74 | Professional | None | $977.24 | $1,096.48 | $2,041.74 |
Hometown Health Setting Professional Modifier None Typical Low $18.20 Median $1,380.38 Typical High $1,862.09 | Professional | None | $18.20 | $1,380.38 | $1,862.09 |
Hometown Health Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $1,584.89 | Professional | None | $15.49 | $15.49 | $1,584.89 |
Select Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $4,265.80 | Facility | None | $1,071.52 | $1,071.52 | $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 $1,000.00 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,000.00 | $1,412.54 | $2,137.96 |
2 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 54 · Surgery only Typical Low $1,023.29 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,023.29 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $954.99 | $977.24 | $977.24 |
Where Nevada sits
The same service costs 8.3 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 $15,904MD $1,911
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.