How much rates vary
Facilitymedian $2,291 · 10th to 90th $437 to $24,547Professionalmedian $851 · 10th to 90th $79 to $1,660
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 $776.25 Median $3,890.45 Typical High $12,022.64 | Facility | None | $776.25 | $3,890.45 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,202.26 | Professional | None | $912.01 | $954.99 | $1,202.26 |
AvMed Setting Facility Modifier None Typical Low $758.58 Median $2,137.96 Typical High $11,748.98 | Facility | None | $758.58 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,174.90 | Professional | None | $794.33 | $1,047.13 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $2,691.53 | Facility | None | $398.11 | $501.19 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,047.13 Typical High $1,995.26 | Professional | None | $724.44 | $1,047.13 | $1,995.26 |
Florida Blue Setting Facility Modifier None Typical Low $10,471.29 Median $22,387.21 Typical High $33,884.42 | Facility | None | $10,471.29 | $22,387.21 | $33,884.42 |
Florida Blue Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $1,122.02 | Professional | None | $676.08 | $724.44 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $758.58 Typical High $1,621.81 | Professional | None | $72.44 | $758.58 | $1,621.81 |
United Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $7,585.78 | Facility | None | $371.54 | $954.99 | $7,585.78 |
United Setting Professional Modifier None Typical Low $60.26 Median $1,148.15 Typical High $2,187.76 | Professional | None | $60.26 | $1,148.15 | $2,187.76 |
Wellpoint Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $954.99 | Professional | None | $724.44 | $724.44 | $954.99 |
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 $457.09 Median $478.63 Typical High $602.56 | Professional | 52 · Reduced service | $457.09 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $190.55 Typical High $239.88 | Professional | 53 · Discontinued | $181.97 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $724.44 Typical High $912.01 | Professional | 54 · Surgery only | $676.08 | $724.44 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $144.54 Typical High $181.97 | Professional | 55 · Aftercare only | $134.90 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $95.50 Typical High $120.23 | Professional | 56 · Pre-op care only | $91.20 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $676.08 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $630.96 | $676.08 | $851.14 |
Where Florida sits
The same service costs 14.5 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 $24,354MD $1,684
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.