How much rates vary
Facilitymedian $1,148 · 10th to 90th $468 to $6,166Professionalmedian $537 · 10th to 90th $355 to $5,888
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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $2,570.40 | Professional | None | $380.19 | $457.09 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $5,370.32 Typical High $6,309.57 | Facility | None | $407.38 | $5,370.32 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $575.44 | Professional | None | $389.05 | $489.78 | $575.44 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $562.34 Typical High $4,073.80 | Facility | None | $457.09 | $562.34 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $2,511.89 Typical High $5,888.44 | Professional | None | $426.58 | $2,511.89 | $5,888.44 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,187.76 Typical High $4,265.80 | Facility | None | $467.74 | $2,187.76 | $4,265.80 |
United Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $645.65 | Professional | None | $323.59 | $426.58 | $645.65 |
5 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 $190.55 Median $194.98 Typical High $234.42 | Professional | 52 · Reduced service | $190.55 | $194.98 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $77.62 Typical High $93.33 | Professional | 53 · Discontinued | $75.86 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $346.74 | Professional | 54 · Surgery only | $288.40 | $288.40 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.90 Typical High $46.77 | Professional | 56 · Pre-op care only | $38.02 | $38.90 | $46.77 |
Where Oklahoma sits
The same service costs 9.3 times more in Wyoming 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
WY $10,585DE $1,135
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.