How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,000 to $20,893Professionalmedian $1,413 · 10th to 90th $1,072 to $2,239
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 $1,479.11 Median $3,548.13 Typical High $10,715.19 | Facility | None | $1,479.11 | $3,548.13 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $4,570.88 | Professional | None | $1,047.13 | $1,174.90 | $4,570.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,623.41 Median $7,762.47 Typical High $22,387.21 | Facility | None | $5,623.41 | $7,762.47 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $2,238.72 | Professional | None | $1,071.52 | $1,412.54 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,290.87 Typical High $4,786.30 | Facility | None | $645.65 | $2,290.87 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $1,949.84 | Professional | None | $1,258.93 | $1,513.56 | $1,949.84 |
Denver HMP Setting Facility Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $2,187.76 | Facility | None | $1,096.48 | $1,412.54 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,230.27 Typical High $1,949.84 | Professional | None | $831.76 | $1,230.27 | $1,949.84 |
Select Health Setting Facility Modifier None Typical Low $870.96 Median $1,737.80 Typical High $1,819.70 | Facility | None | $870.96 | $1,737.80 | $1,819.70 |
Select Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $870.96 | Professional | None | $616.60 | $616.60 | $870.96 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,380.38 Typical High $8,912.51 | Facility | None | $645.65 | $1,380.38 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,288.25 | $1,659.59 | $2,511.89 |
4 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 $794.33 Median $812.83 Typical High $1,122.02 | Professional | 54 · Surgery only | $794.33 | $812.83 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $165.96 Typical High $223.87 | Professional | 55 · Aftercare only | $158.49 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $109.65 Typical High $151.36 | Professional | 56 · Pre-op care only | $104.71 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $776.25 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $741.31 | $776.25 | $1,047.13 |
Where Colorado sits
The same service costs 9.4 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 $15,900MD $1,684
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.