How much rates vary
Facilitymedian $1,023 · 10th to 90th $151 to $5,623Professionalmedian $955 · 10th to 90th $759 to $2,630
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 $1,737.80 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,737.80 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,148.15 | Professional | None | $831.76 | $933.25 | $1,148.15 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $2,041.74 | Facility | None | $446.68 | $676.08 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,548.82 | Professional | None | $707.95 | $1,047.13 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $977.24 Typical High $4,466.84 | Facility | None | $54.95 | $977.24 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $5,888.44 | Professional | None | $741.31 | $891.25 | $5,888.44 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
United Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,348.96 | Professional | None | $741.31 | $870.96 | $1,348.96 |
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 $416.87 Median $467.74 Typical High $575.44 | Professional | 52 · Reduced service | $416.87 | $467.74 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $186.21 Typical High $229.09 | Professional | 53 · Discontinued | $165.96 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $691.83 Typical High $870.96 | Professional | 54 · Surgery only | $616.60 | $691.83 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $141.25 Typical High $173.78 | Professional | 55 · Aftercare only | $123.03 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $93.33 Typical High $114.82 | Professional | 56 · Pre-op care only | $83.18 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $645.65 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $575.44 | $645.65 | $812.83 |
Where Kansas sits
The same service costs 17.6 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 $23,909MD $1,357
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.