How much rates vary
Facilitymedian $1,202 · 10th to 90th $316 to $6,918Professionalmedian $1,622 · 10th to 90th $1,175 to $2,188
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 $1,949.84 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,949.84 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $2,137.96 | Professional | None | $1,230.27 | $1,621.81 | $2,137.96 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $707.95 Typical High $35,481.34 | Facility | None | $446.68 | $707.95 | $35,481.34 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,096.48 | $1,513.56 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $4,466.84 | Facility | None | $54.95 | $1,000.00 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $7,943.28 | Professional | None | $1,148.15 | $1,584.89 | $7,943.28 |
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 $1,122.02 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,122.02 | $1,584.89 | $2,187.76 |
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 $912.01 Median $1,202.26 Typical High $1,230.27 | Professional | 54 · Surgery only | $912.01 | $1,202.26 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $239.88 Typical High $245.47 | Professional | 55 · Aftercare only | $181.97 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $123.03 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,122.02 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $851.14 | $1,122.02 | $1,148.15 |
Where Kansas 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.