How much rates vary
Facilitymedian $513 · 10th to 90th $257 to $1,380Professionalmedian $98 · 10th to 90th $74 to $347
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 $104.71 Median $114.82 Typical High $446.68 | Facility | None | $104.71 | $114.82 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $194.98 Typical High $346.74 | Professional | None | $85.11 | $194.98 | $346.74 |
CareFirst Setting Professional Modifier None Typical Low $74.13 Median $83.18 Typical High $102.33 | Professional | None | $74.13 | $83.18 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $389.05 Typical High $676.08 | Facility | None | $245.47 | $389.05 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $213.80 Typical High $309.03 | Professional | None | $74.13 | $213.80 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $489.78 | Professional | None | $245.47 | $354.81 | $489.78 |
United Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $1,380.38 | Facility | None | $407.38 | $645.65 | $1,380.38 |
United Setting Professional Modifier None Typical Low $58.88 Median $162.18 Typical High $338.84 | Professional | None | $58.88 | $162.18 | $338.84 |
Wellpoint Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $416.87 | Professional | None | $181.97 | $181.97 | $416.87 |
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 $42.66 Median $91.20 Typical High $173.78 | Professional | 52 · Reduced service | $42.66 | $91.20 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $36.31 Typical High $69.18 | Professional | 53 · Discontinued | $16.98 | $36.31 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $138.04 Typical High $263.03 | Professional | 54 · Surgery only | $63.10 | $138.04 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $23.99 Typical High $52.48 | Professional | 55 · Aftercare only | $12.59 | $23.99 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $18.20 Typical High $34.67 | Professional | 56 · Pre-op care only | $8.51 | $18.20 | $34.67 |
Where Maryland sits
The same service costs 9.0 times more in Colorado 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
CO $4,579MT $507
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.