How much rates vary
Facilitymedian $1,413 · 10th to 90th $513 to $3,890Professionalmedian $3,890 · 10th to 90th $2,818 to $25,704
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 $2,630.27 Median $2,818.38 Typical High $7,585.78 | Facility | None | $2,630.27 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $3,090.30 Typical High $4,265.80 | Professional | None | $2,818.38 | $3,090.30 | $4,265.80 |
BCBS Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $3,715.35 | Facility | None | $489.78 | $1,258.93 | $3,715.35 |
BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $3,467.37 Typical High $6,606.93 | Professional | None | $2,884.03 | $3,467.37 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $2,691.53 | Facility | None | $512.86 | $676.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $3,311.31 Typical High $5,248.07 | Professional | None | $3,019.95 | $3,311.31 | $5,248.07 |
Lucent Health Setting Professional Modifier None Typical Low $22,387.21 Median $25,703.96 Typical High $25,703.96 | Professional | None | $22,387.21 | $25,703.96 | $25,703.96 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,778.28 Typical High $3,981.07 | Facility | None | $501.19 | $1,778.28 | $3,981.07 |
United Setting Professional Modifier None Typical Low $2,818.38 Median $3,630.78 Typical High $6,456.54 | Professional | None | $2,818.38 | $3,630.78 | $6,456.54 |
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 $1,412.54 Median $1,548.82 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,412.54 | $1,548.82 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $616.60 Typical High $851.14 | Professional | 53 · Discontinued | $562.34 | $616.60 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,290.87 Typical High $3,162.28 | Professional | 54 · Surgery only | $2,089.30 | $2,290.87 | $3,162.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $457.09 Typical High $630.96 | Professional | 55 · Aftercare only | $426.58 | $457.09 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $309.03 Typical High $426.58 | Professional | 56 · Pre-op care only | $281.84 | $309.03 | $426.58 |
Where Tennessee sits
The same service costs 5.9 times more in Alaska than in Delaware. 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
AK $22,987DE $3,887
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.