How much rates vary
Facilitymedian $871 · 10th to 90th $148 to $5,623Professionalmedian $209 · 10th to 90th $148 to $2,692
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 $1,698.24 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,698.24 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $229.09 | Professional | None | $147.91 | $165.96 | $229.09 |
BCBS Kansas Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $2,041.74 | Facility | None | $446.68 | $645.65 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $323.59 | Professional | None | $158.49 | $245.47 | $323.59 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $575.44 Typical High $4,466.84 | Facility | None | $54.95 | $575.44 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $295.12 Typical High $2,691.53 | Professional | None | $158.49 | $295.12 | $2,691.53 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
United Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $245.47 | Professional | None | $147.91 | $173.78 | $245.47 |
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 $74.13 Median $83.18 Typical High $114.82 | Professional | 52 · Reduced service | $74.13 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.11 Typical High $45.71 | Professional | 53 · Discontinued | $29.51 | $33.11 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $123.03 Typical High $169.82 | Professional | 54 · Surgery only | $109.65 | $123.03 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $25.12 Typical High $33.88 | Professional | 55 · Aftercare only | $21.88 | $25.12 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $16.60 Typical High $22.91 | Professional | 56 · Pre-op care only | $14.79 | $16.60 | $22.91 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | AS · PA/NP assist | $28.18 | $28.18 | $28.18 |
Where Kansas sits
The same service costs 36.6 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 $16,031MT $438
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.