How much rates vary
Facilitymedian $1,175 · 10th to 90th $174 to $5,129Professionalmedian $275 · 10th to 90th $224 to $4,266
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 $977.24 Median $3,715.35 Typical High $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $346.74 | Professional | None | $223.87 | $223.87 | $346.74 |
BCBS Arizona Setting Facility Modifier None Typical Low $831.76 Median $1,949.84 Typical High $5,128.61 | Facility | None | $831.76 | $1,949.84 | $5,128.61 |
BCBS Arizona Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $537.03 | Professional | None | $239.88 | $257.04 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,089.30 Typical High $2,691.53 | Facility | None | $602.56 | $2,089.30 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $457.09 | Professional | None | $239.88 | $275.42 | $457.09 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $812.83 Typical High $4,073.80 | Facility | None | $104.71 | $812.83 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $4,265.80 | Professional | None | $239.88 | $363.08 | $4,265.80 |
United Setting Facility Modifier None Typical Low $104.71 Median $1,148.15 Typical High $5,128.61 | Facility | None | $104.71 | $1,148.15 | $5,128.61 |
United Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $501.19 | Professional | None | $229.09 | $269.15 | $501.19 |
5 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 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | 52 · Reduced service | $112.20 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $47.86 | Professional | 53 · Discontinued | $44.67 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | 54 · Surgery only | $169.82 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $23.99 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $23.99 |
Where Arizona sits
The same service costs 32.0 times more in Maine than in Montana. 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 $26,674MT $834
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.