How much rates vary
Facilitymedian $1,905 · 10th to 90th $427 to $8,511Professionalmedian $1,175 · 10th to 90th $955 to $2,630
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 $1,174.90 Median $6,309.57 Typical High $10,471.29 | Facility | None | $1,174.90 | $6,309.57 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $2,344.23 | Professional | None | $1,071.52 | $1,174.90 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $2,137.96 Typical High $2,818.38 | Facility | None | $1,023.29 | $2,137.96 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $2,630.27 | Professional | None | $954.99 | $1,047.13 | $2,630.27 |
Emblem Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $1,445.44 | Professional | None | $1,000.00 | $1,380.38 | $1,445.44 |
Horizon BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $3,019.95 | Professional | None | $954.99 | $1,122.02 | $3,019.95 |
United Setting Facility Modifier None Typical Low $331.13 Median $1,479.11 Typical High $5,495.41 | Facility | None | $331.13 | $1,479.11 | $5,495.41 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $2,951.21 | Professional | None | $891.25 | $1,148.15 | $2,951.21 |
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 $851.14 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $851.14 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $169.82 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $112.20 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $794.33 | $831.76 | $831.76 |
Where New Jersey 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.