How much rates vary
Facilitymedian $1,862 · 10th to 90th $646 to $6,607Professionalmedian $1,023 · 10th to 90th $741 to $2,188
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 $478.63 Median $891.25 Typical High $1,995.26 | Facility | None | $478.63 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $2,187.76 Typical High $2,187.76 | Professional | None | $741.31 | $2,187.76 | $2,187.76 |
BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $2,570.40 Typical High $4,365.16 | Facility | None | $436.52 | $2,570.40 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,230.27 Typical High $1,445.44 | Professional | None | $588.84 | $1,230.27 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,737.80 Typical High $8,912.51 | Facility | None | $977.24 | $1,737.80 | $8,912.51 |
United Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,659.59 | Professional | None | $707.95 | $933.25 | $1,659.59 |
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 $371.54 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $371.54 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $147.91 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $1,621.81 Typical High $1,621.81 | Professional | 54 · Surgery only | $549.54 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $109.65 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $74.13 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $512.86 | $1,513.56 | $1,513.56 |
Where Mississippi sits
The same service costs 5.0 times more in Oklahoma than in Hawaii. 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
OK $9,757HI $1,932
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.