How much rates vary
Facilitymedian $209 · 10th to 90th $89 to $1,380Professionalmedian $219 · 10th to 90th $115 to $407
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 $89.13 Median $151.36 Typical High $7,413.10 | Facility | None | $89.13 | $151.36 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $169.82 | Professional | None | $89.13 | $151.36 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
BCBS North Carolina Setting Professional Modifier None Typical Low $141.25 Median $229.09 Typical High $407.38 | Professional | None | $141.25 | $229.09 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,995.26 Typical High $2,290.87 | Facility | None | $870.96 | $1,995.26 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $181.97 Typical High $263.03 | Professional | None | $109.65 | $181.97 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $346.74 | Professional | None | $302.00 | $302.00 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $107.15 Median $724.44 Typical High $724.44 | Facility | None | $107.15 | $724.44 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $218.78 | Professional | None | $141.25 | $154.88 | $218.78 |
Oscar Health Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $134.90 | Professional | None | $128.82 | $128.82 | $134.90 |
United Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $1,096.48 | Facility | None | $77.62 | $165.96 | $1,096.48 |
United Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $234.42 | Professional | None | $91.20 | $138.04 | $234.42 |
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 $44.67 Median $67.61 Typical High $75.86 | Professional | 52 · Reduced service | $44.67 | $67.61 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $27.54 Typical High $30.20 | Professional | 53 · Discontinued | $17.78 | $27.54 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $102.33 Typical High $112.20 | Professional | 54 · Surgery only | $66.07 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $20.42 Typical High $22.39 | Professional | 55 · Aftercare only | $13.49 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $13.80 Typical High $15.14 | Professional | 56 · Pre-op care only | $8.91 | $13.80 | $15.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $70.79 Median $77.62 Typical High $120.23 | Professional | 51 · Multiple procedures | $70.79 | $77.62 | $120.23 |
Where North Carolina sits
The same service costs 11.3 times more in Hawaii than in Delaware. 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
HI $2,996DE $264
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.