How much rates vary
Facilitymedian $2,512 · 10th to 90th $759 to $12,023Professionalmedian $661 · 10th to 90th $437 to $912
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 $436.52 Median $1,380.38 Typical High $7,762.47 | Facility | None | $436.52 | $1,380.38 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $794.33 | Professional | None | $436.52 | $588.84 | $794.33 |
BCBS New Mexico Setting Facility Modifier None Typical Low $2,511.89 Median $9,120.11 Typical High $13,803.84 | Facility | None | $2,511.89 | $9,120.11 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,698.24 Typical High $2,398.83 | Facility | None | $776.25 | $1,698.24 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $912.01 | Professional | None | $457.09 | $660.69 | $912.01 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $467.74 Typical High $794.33 | Professional | None | $33.11 | $467.74 | $794.33 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $1,513.56 Typical High $2,511.89 | Facility | None | $371.54 | $1,513.56 | $2,511.89 |
Providence Setting Professional Modifier None Typical Low $457.09 Median $676.08 Typical High $912.01 | Professional | None | $457.09 | $676.08 | $912.01 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $7,585.78 | Facility | None | $1,047.13 | $2,344.23 | $7,585.78 |
United Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $933.25 | Professional | None | $446.68 | $676.08 | $933.25 |
6 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 $218.78 Median $295.12 Typical High $398.11 | Professional | 52 · Reduced service | $218.78 | $295.12 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $117.49 Typical High $158.49 | Professional | 53 · Discontinued | $87.10 | $117.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $436.52 Typical High $602.56 | Professional | 54 · Surgery only | $323.59 | $436.52 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $87.10 Typical High $120.23 | Professional | 55 · Aftercare only | $64.57 | $87.10 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $58.88 Typical High $79.43 | Professional | 56 · Pre-op care only | $43.65 | $58.88 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $407.38 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $302.00 | $407.38 | $562.34 |
Where New Mexico sits
The same service costs 4.6 times more in Oklahoma 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
OK $6,614MT $1,440
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.