How much rates vary
Facilitymedian $1,445 · 10th to 90th $537 to $251,189Professionalmedian $1,622 · 10th to 90th $355 to $2,042
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 $1,000.00 Median $1,288.25 Typical High $7,762.47 | Facility | None | $1,000.00 | $1,288.25 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,122.02 | $1,819.70 | $1,819.70 |
BCBS New Mexico Setting Professional Modifier None Typical Low $977.24 Median $1,479.11 Typical High $2,041.74 | Professional | None | $977.24 | $1,479.11 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $707.95 | Facility | None | $537.03 | $602.56 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,174.90 | $1,479.11 | $1,995.26 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $354.81 Typical High $1,778.28 | Professional | None | $33.11 | $354.81 | $1,778.28 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $1,659.59 Typical High $251,188.64 | Facility | None | $602.56 | $1,659.59 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $2,089.30 | Professional | None | $1,258.93 | $1,513.56 | $2,089.30 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,412.54 Typical High $10,471.29 | Facility | None | $407.38 | $1,412.54 | $10,471.29 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $2,344.23 | Professional | None | $1,202.26 | $1,737.80 | $2,344.23 |
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 $575.44 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $575.44 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $229.09 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $870.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $173.78 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $114.82 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $812.83 | $1,258.93 | $1,258.93 |
Where New Mexico sits
The same service costs 5.9 times more in Alabama than in Maryland. 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
AL $10,682MD $1,821
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.