How much rates vary
Facilitymedian $3,090 · 10th to 90th $537 to $11,482Professionalmedian $3,388 · 10th to 90th $1,905 to $11,220
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 $1,380.38 Median $7,943.28 Typical High $21,877.62 | Facility | None | $1,380.38 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,862.09 | Professional | None | $1,380.38 | $1,380.38 | $1,862.09 |
BCBS Nebraska Setting Facility Modifier None Typical Low $6,165.95 Median $8,128.31 Typical High $16,595.87 | Facility | None | $6,165.95 | $8,128.31 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $4,265.80 | Professional | None | $2,511.89 | $3,467.37 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $4,365.16 | Facility | None | $478.63 | $977.24 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $2,137.96 Median $3,548.13 Typical High $11,220.18 | Professional | None | $2,137.96 | $3,548.13 | $11,220.18 |
Midlands Setting Professional Modifier None Typical Low $2,754.23 Median $3,467.37 Typical High $4,570.88 | Professional | None | $2,754.23 | $3,467.37 | $4,570.88 |
Midlands Setting Professional Modifier None Typical Low $2,754.23 Median $3,388.44 Typical High $4,570.88 | Professional | None | $2,754.23 | $3,388.44 | $4,570.88 |
United Setting Facility Modifier None Typical Low $489.78 Median $891.25 Typical High $3,801.89 | Facility | None | $489.78 | $891.25 | $3,801.89 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $3,981.07 | Professional | None | $2,137.96 | $3,162.28 | $3,981.07 |
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 $691.83 Median $691.83 Typical High $812.83 | Professional | 52 · Reduced service | $691.83 | $691.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | 53 · Discontinued | $275.42 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $245.47 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $1,148.15 |
Where Nebraska sits
The same service costs 8.2 times more in Maine 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
ME $17,891MD $2,184
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.