How much rates vary
Facilitymedian $871 · 10th to 90th $389 to $2,570Professionalmedian $1,698 · 10th to 90th $933 to $4,571
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 $707.95 Median $977.24 Typical High $2,570.40 | Facility | None | $707.95 | $977.24 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $2,187.76 Typical High $4,570.88 | Professional | None | $977.24 | $2,187.76 | $4,570.88 |
Ambetter Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,071.52 | Professional | None | $954.99 | $954.99 | $1,071.52 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
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 $691.83 Median $1,584.89 Typical High $1,862.09 | Professional | None | $691.83 | $1,584.89 | $1,862.09 |
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 $933.25 Median $1,202.26 Typical High $2,630.27 | Professional | None | $933.25 | $1,202.26 | $2,630.27 |
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 $724.44 Median $1,621.81 Typical High $3,388.44 | Professional | 54 · Surgery only | $724.44 | $1,621.81 | $3,388.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $323.59 Typical High $676.08 | Professional | 55 · Aftercare only | $147.91 | $323.59 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $218.78 Typical High $457.09 | Professional | 56 · Pre-op care only | $97.72 | $218.78 | $457.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $1,513.56 Typical High $3,162.28 | Professional | 78 · Unplanned return to OR | $676.08 | $1,513.56 | $3,162.28 |
Where Mississippi 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.