How much rates vary
Facilitymedian $2,754 · 10th to 90th $832 to $7,079Professionalmedian $251 · 10th to 90th $209 to $3,631
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 $218.78 Median $218.78 Typical High $239.88 | Professional | None | $218.78 | $218.78 | $239.88 |
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 $257.04 Median $257.04 Typical High $398.11 | Professional | None | $257.04 | $257.04 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,691.53 Typical High $2,691.53 | Facility | None | $524.81 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $338.84 | Professional | None | $208.93 | $251.19 | $338.84 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $2,754.23 Typical High $7,244.36 | Facility | None | $309.03 | $2,754.23 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $3,630.78 | Professional | None | $208.93 | $295.12 | $3,630.78 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,168.69 Typical High $8,317.64 | Facility | None | $977.24 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $323.59 | Professional | None | $204.17 | $229.09 | $323.59 |
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 $109.65 Median $109.65 Typical High $117.49 | Professional | 52 · Reduced service | $109.65 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | 53 · Discontinued | $43.65 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | 54 · Surgery only | $162.18 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $35.48 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $23.44 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $23.44 |
Where Arizona 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 $27,224MT $743
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.