How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,905 to $25,704Professionalmedian $1,905 · 10th to 90th $1,413 to $2,512
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 $1,995.26 Median $4,365.16 Typical High $21,877.62 | Facility | None | $1,995.26 | $4,365.16 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,370.32 Median $12,302.69 Typical High $25,703.96 | Facility | None | $5,370.32 | $12,302.69 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $3,388.44 | Professional | None | $1,819.70 | $2,089.30 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $16,595.87 Typical High $38,018.94 | Facility | None | $660.69 | $16,595.87 | $38,018.94 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $2,511.89 | Professional | None | $1,380.38 | $1,548.82 | $2,511.89 |
Hometown Health Setting Professional Modifier None Typical Low $21.88 Median $1,659.59 Typical High $2,454.71 | Professional | None | $21.88 | $1,659.59 | $2,454.71 |
Hometown Health Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $2,511.89 | Professional | None | $16.22 | $16.22 | $2,511.89 |
Select Health Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $4,265.80 | Facility | None | $1,659.59 | $1,659.59 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $3,162.28 | Professional | None | $1,148.15 | $1,548.82 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $6,456.54 | Facility | None | $1,905.46 | $3,019.95 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,412.54 | $1,778.28 | $2,454.71 |
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,412.54 | $1,412.54 |
Where Nevada sits
The same service costs 7.2 times more in Maine 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
ME $28,702DE $3,966
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.