How much rates vary
Facilitymedian $1,660 · 10th to 90th $398 to $7,244Professionalmedian $1,288 · 10th to 90th $1,122 to $10,471
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 $977.24 Median $3,715.35 Typical High $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,288.25 | Professional | None | $1,202.26 | $1,202.26 | $1,288.25 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,659.59 Median $3,981.07 Typical High $10,232.93 | Facility | None | $1,659.59 | $3,981.07 | $10,232.93 |
BCBS Arizona Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $2,137.96 | Professional | None | $954.99 | $1,047.13 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,089.30 Typical High $2,691.53 | Facility | None | $524.81 | $2,089.30 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,202.26 Typical High $2,238.72 | Professional | None | $1,122.02 | $1,202.26 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $831.76 Typical High $3,235.94 | Facility | None | $354.81 | $831.76 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $10,471.29 | Professional | None | $1,174.90 | $1,659.59 | $10,471.29 |
United Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $3,311.31 | Facility | None | $363.08 | $912.01 | $3,311.31 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $2,398.83 | Professional | None | $1,148.15 | $1,318.26 | $2,398.83 |
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 $602.56 Median $602.56 Typical High $645.65 | Professional | 52 · Reduced service | $602.56 | $602.56 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $257.04 | Professional | 53 · Discontinued | $239.88 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $977.24 | Professional | 54 · Surgery only | $891.25 | $891.25 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $194.98 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $128.82 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $912.01 |
Where Arizona sits
The same service costs 13.1 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 $24,687MD $1,882
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.